Individual
LYN HERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
PO BOX 6, WELLSBURG, WV 26070-0006
(304) 737-0622
(304) 737-0622
Mailing address
PO BOX 6, WELLSBURG, WV 26070-0006
(304) 737-0622
(304) 737-0622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
909
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023528001
—
WV
01
—
550583609057
BLUE CROSS/BLUE SHIELD
WV
01
—
733786000
MAGELLAN
WV
01
—
Y0909
HEALTH PLAN
WV
Enumeration date
07/26/2005
Last updated
05/17/2024
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