| Doctor Name: | MARY POLCE-LYNCH |
| NPI Number: | 1033230578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 0701001542 |
| Business Practice Address: | 8266 Atlee Rd Suite 330 Mechanicsville, VA - 231161804 |
| Business Phone Number: | 8042884084 |
| Business Fax Number: | 8045592046 |
| Mailing Address: | 7130 Glen Forest Dr, Suite 101 RICHMOND |
| State: | VA |
| Postal Code: | 232263754 |
| Phone Number: | 8046626060 |
| Fax Number: | 8042828678 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701001542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |