Individual
JENNIFER LYASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 BLYTHE MILL RD, WAXHAW, NC 28173-0466
(984) 212-0028
Mailing address
1647 LOGGERHEAD DR, LANCASTER, SC 29720-0394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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