Provider Demographics
NPI:1306089636
Name:ZINKE LINDBERG, DANIELLE ANDREA (LPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANDREA
Last Name:ZINKE LINDBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:ANDREA
Other - Last Name:ZINKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2209 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:WI
Mailing Address - Zip Code:53073-4281
Mailing Address - Country:US
Mailing Address - Phone:920-892-7606
Mailing Address - Fax:920-449-4247
Practice Address - Street 1:2209 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:WI
Practice Address - Zip Code:53073-4281
Practice Address - Country:US
Practice Address - Phone:920-892-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4817125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional