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Individual
LYNNE MARIE PERCIVAL
Active
Individual
LYNNE MARIE PERCIVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC, MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13882
TX
101YP2500X
Professional Counselor
Primary
76118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13882
LCDC
TX
01
—
76118
LPC
TX
Enumeration date
03/21/2021
Last updated
03/21/2021
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