Provider Demographics
NPI:1215628409
Name:LINDEN, MEREDITH (APCC, AMFT)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:LINDEN
Suffix:
Gender:F
Credentials:APCC, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93061-0429
Mailing Address - Country:US
Mailing Address - Phone:808-825-3201
Mailing Address - Fax:
Practice Address - Street 1:2580 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2640
Practice Address - Country:US
Practice Address - Phone:808-825-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13881101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional