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Individual
LYNELLE AMEN
Active
Individual
LYNELLE AMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-31474
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649756362
—
MT
Enumeration date
07/16/2018
Last updated
03/05/2019
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