Individual
PATRICIA RAY LYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, QMHP
Contact information
Practice address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 673-6617
Mailing address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 286-1383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223712
MI
Other
Enumeration date
03/09/2022
Last updated
07/26/2024
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