Individual
LINDA LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25 SECURITY DR, JACKSON, TN 38305-3626
(731) 664-9119
(731) 421-0425
Mailing address
759 BEAR CREEK RD, PINSON, TN 38366-1911
(731) 664-9119
(731) 421-0425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1408
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4066269
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
07/27/2006
Last updated
07/08/2007
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