Provider Demographics
NPI:1851469019
Name:ARROSSA, LINDA C (LCPC LMFT CADC CP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:ARROSSA
Suffix:
Gender:F
Credentials:LCPC LMFT CADC CP
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 5876
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83303-5876
Mailing Address - Country:US
Mailing Address - Phone:208-544-2432
Mailing Address - Fax:208-544-2432
Practice Address - Street 1:834 FALLS AVE
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3365
Practice Address - Country:US
Practice Address - Phone:208-308-8276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID72101YM0800X, 101YP2500X
ID2971106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC64960OtherNBCC
ID1044003OtherCADC
ID72OtherLCPC
ID2971OtherLMFT