Individual
LINDA JEAN FEUQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCACI ICACII
Contact information
Practice address
207 N. BLUFF ST., MONTICELLO, IN 47960
(574) 583-9350
(574) 583-7997
Mailing address
5609 S. HIGH STREET, WINAMAC, IN 46996
(574) 595-7329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18539
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
A685R
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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