Linda J Bannerman, MA
Individual provider Active NPI Mental Health Counselor · Cathlamet, WA
NPI 1104042654 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104042654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- RC00003433 (WA)
- Practice address
- 42 Elochoman Valley Rd
Cathlamet, WA 98612-9602 - Phone
- (360) 795-8630
- Fax
- (360) 795-6224
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00003433 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00003433 | WA | Yes |
Addresses
Primary practice location
42 Elochoman Valley Rd
Cathlamet, WA 98612-9602
Mailing address
728 N Columbia Heights Rd
Longview, WA 98632-9514
Phone (360) 577-0789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC00003433 | Other | WA | REGISTERED COUNSELOR |
Other providers in Cathlamet, WA
- Richie Allen
- Jennifer Dugan Anderson
- Kristie Marie Andreas
- Mary Danelle Barlow
- Alexander K Bell
- Corey Coleman Blankenship
- Brighton Diversion Services Inc.
- Cathlamet Fire Dept First Aid Division
All providers in Cathlamet, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.