Healthcare Provider Details

I. General information

NPI: 1467550764
Provider Name (Legal Business Name): LINDA L WINTER LPCC LADAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA SNODGRASS

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 SOLAR RD NW
ALBUQUERQUE NM
87107
US

IV. Provider business mailing address

837 SOLAR RD NW
ALBUQUERQUE NM
87107
US

V. Phone/Fax

Practice location:
  • Phone: 505-344-2048
  • Fax: 505-766-9402
Mailing address:
  • Phone: 505-344-2048
  • Fax: 505-766-9402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADAC3638
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC0591
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC0591
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: