Doctor Name: | MRS. LYNN FONTAINE ADELSON |
NPI Number: | 1477769065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC, LMFT |
License Number: | LPC 9988 |
Business Practice Address: | 706 Fm 2325 Suite B Wimberley, TX - 786765010 |
Business Phone Number: | 5128470060 |
Business Fax Number: | |
Mailing Address: | 611 Mission Trl, WIMBERLEY |
State: | TX |
Postal Code: | 786766336 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC 9988 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |