Provider Demographics
NPI:1700274602
Name:LINNEMAN, JANIECE KAY (LPC)
Entity type:Individual
Prefix:
First Name:JANIECE
Middle Name:KAY
Last Name:LINNEMAN
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:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MO
Mailing Address - Zip Code:65281-0055
Mailing Address - Country:US
Mailing Address - Phone:660-676-8500
Mailing Address - Fax:888-978-1973
Practice Address - Street 1:510 S MORLEY ST
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-2123
Practice Address - Country:US
Practice Address - Phone:660-676-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015008986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional