Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 3842 | TN |
N | 101YS0200X | School Counselor |
NPI | 1104234384 |
---|---|
Provider Name | Mrs. Annette J Lynch |
First Address | Cookeville, TN 38506-7438 |
Second Address | Cookeville, TN 38506-7438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2014 |
Last Update Date | 25/04/2017 |