Individual
CAROL ELIZABETH LINSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
207 N NELLIUS ST, WOODVILLE, TX 75979-4809
(396) 414-9450
Mailing address
5310 ORIOLE DR, BEAUMONT, TX 77707-2022
(936) 414-9450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280018-01
—
TX
Enumeration date
01/16/2007
Last updated
07/08/2007
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