Provider Demographics
NPI:1730277203
Name:CLEARY, LINDA GAIL (LPCC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:GAIL
Last Name:CLEARY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:GAIL
Other - Last Name:ARMS (ALSO WITHERS)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 SOUTHERN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-3223
Mailing Address - Country:US
Mailing Address - Phone:606-679-4782
Mailing Address - Fax:606-678-5296
Practice Address - Street 1:322 MIDDLEBURG STREET
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:42539
Practice Address - Country:US
Practice Address - Phone:606-787-9472
Practice Address - Fax:606-787-7344
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional