Provider Demographics
NPI:1730444076
Name:LINK, NANCY LEA (LPC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEA
Last Name:LINK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 STADIUM DR S
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-1913
Mailing Address - Country:US
Mailing Address - Phone:503-409-9390
Mailing Address - Fax:126-762-9347
Practice Address - Street 1:161 HIGH ST SE STE 223
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3621
Practice Address - Country:US
Practice Address - Phone:503-409-9390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health