Individual
MS. LAURA DIANE LININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 WEST KIRKWOOD AVE, FOUNTAIN SQUARE, SUITE 218, BLOOMINGTON, IN 47402
(812) 327-6842
(812) 676-9351
Mailing address
101 WEST KIRKWOOD AVE, FOUNTAIN SQUARE, SUITE 218, BLOOMINGTON, IN 47402
(812) 327-6842
(812) 676-9351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34003425A
IN
1041C0700X
Clinical Social Worker
Primary
34003425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192037
ANTHEM
—
Enumeration date
12/01/2005
Last updated
09/03/2014
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