Individual
LINDA A CARMODY, MS, LPC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 BELLEVUE ST STE 101, GREEN BAY, WI 54311-4205
(920) 784-2644
(920) 784-2655
Mailing address
1496 BELLEVUE ST STE 101, GREEN BAY, WI 54311-4205
(920) 784-2644
(920) 784-2655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WI
104100000X
Social Worker
Primary
4151-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43729600
—
WI
Enumeration date
01/16/2008
Last updated
02/26/2015
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