Provider Demographics
NPI:1538338256
Name:LINDER, GLENNA (LPC)
Entity type:Individual
Prefix:
First Name:GLENNA
Middle Name:
Last Name:LINDER
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 1:2210 LIESFELD PKWY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5856
Mailing Address - Country:US
Mailing Address - Phone:804-366-6609
Mailing Address - Fax:888-972-5090
Practice Address - Street 1:4908 DOMINION BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6774
Practice Address - Country:US
Practice Address - Phone:804-366-6609
Practice Address - Fax:888-972-5090
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006176101YP2500X
PAPC005652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional