Provider Demographics
NPI:1154566701
Name:GARON, LINDA ANN (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:GARON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 MONTMARTRE ST
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-2290
Mailing Address - Country:US
Mailing Address - Phone:985-773-2660
Mailing Address - Fax:
Practice Address - Street 1:112 INNWOOD DR
Practice Address - Street 2:SUITE F
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-9134
Practice Address - Country:US
Practice Address - Phone:985-773-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2774101YP2500X
LA1113106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist