Doctor Name: | ROSEANN LYNCH |
NPI Number: | 1245561018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 444 |
Business Practice Address: | 306 Main St Ketchikan, AK - 999016430 |
Business Phone Number: | 9072254474 |
Business Fax Number: | |
Mailing Address: | 2246 South Tongass, KETCHIKAN |
State: | AK |
Postal Code: | 999019503 |
Phone Number: | 9072254474 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2010 |
NPI Last Update Date: | 01/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 444 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |