Provider Demographics
NPI:1043191844
Name:WINSTON, LINDA PRODAN (LMFT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:PRODAN
Last Name:WINSTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 BARRANCA
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-4528
Mailing Address - Country:US
Mailing Address - Phone:949-400-7285
Mailing Address - Fax:
Practice Address - Street 1:2000 BARRANCA
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-4528
Practice Address - Country:US
Practice Address - Phone:949-400-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT29350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health