Individual
MR. PAUL R LINEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, LMHC
Contact information
Practice address
1299 NW ELLAN ST STE 3, ROSEBURG, OR 97470-2031
(541) 391-9991
Mailing address
PO BOX 7, ROSEBURG, OR 97470-0001
(541) 391-9991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00004271
WA
101YP2500X
Professional Counselor
Primary
C1198
OR
Other
Enumeration date
08/15/2007
Last updated
05/18/2011
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