Provider Demographics
NPI:1932960309
Name:POMAR, LINDA SUE (ACMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:POMAR
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 W WILLET DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:UT
Mailing Address - Zip Code:84653-5679
Mailing Address - Country:US
Mailing Address - Phone:575-342-4995
Mailing Address - Fax:
Practice Address - Street 1:953 S 1950 W
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-3064
Practice Address - Country:US
Practice Address - Phone:575-342-4995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13583435-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health