Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 906 | MA |
NPI | 1003032582 |
---|---|
Provider Name | Mrs. Linda Ann Lynch |
First Address | Belchertown, MA 01007-9373 |
Second Address | Springfield, MA 01107-1905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |