Individual
MS. LINDA MANON LIBBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC MAC
Contact information
Practice address
BASTOGNE & REILLY ST, CLARK HEALTH CLINIC BLDG 5-4257, FT BRAGG, NC 28310
(910) 907-9651
(910) 907-8229
Mailing address
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER MEXC-COD CREDENTIALS, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC4077
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC16059
IN
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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