Linda Ruth Brackin, MSS, LCSW

Individual provider Active NPI Mental Health Counselor · Greenville, DE

NPI 1609095686 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609095686
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
Q10000282 (DE)
Practice address
701 Adams Dam Rd
Greenville, DE 19807-1438
Phone
(302) 888-2345
NPI assigned
Apr 25, 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

State licenses

LicenseStateTypeSpecialty
Q10000282DEMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Q10000282 DE Yes

Addresses

Primary practice location

701 Adams Dam Rd
Greenville, DE 19807-1438

Mailing address

701 Adams Dam Rd
Greenville, DE 19807-1438
Phone (302) 888-2345

Other providers in Greenville, DE

All providers in Greenville, DE · Mental Health Counselor in Delaware

Sources for this page

Verify at the official NPI Registry.