| Doctor Name: | MS. LYNN ROBERTA HARRISON |
| NPI Number: | 1003022856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED |
| License Number: | CDC I |
| Business Practice Address: | 3504 Industrial Fairbanks, AK - 99701 |
| Business Phone Number: | 9074798450 |
| Business Fax Number: | |
| Mailing Address: | Po Box 74083, FAIRBANKS |
| State: | AK |
| Postal Code: | 997074083 |
| Phone Number: | 9074798450 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CDC I |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |