Provider Demographics
NPI:1427128347
Name:SATTERBURG, LINDA M (DRUG ALCOHOL COUNSEL)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:SATTERBURG
Suffix:
Gender:F
Credentials:DRUG ALCOHOL COUNSEL
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:ACKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33464 WILDWING DRIVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695
Mailing Address - Country:US
Mailing Address - Phone:530-661-2502
Mailing Address - Fax:
Practice Address - Street 1:14 N. COTTONWOOD STREET
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695
Practice Address - Country:US
Practice Address - Phone:530-406-4839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X101YA0400X
CA101YM0800X101YM0800X
CA101YM0A0400X101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral