Individual
MR. BRUCE A. LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCAC, CAC II
Contact information
Practice address
1018 16TH AVE NW, SUITE #1, SURFSIDE BEACH, SC 29575-8269
(843) 424-3485
(888) 430-7476
Mailing address
PO BOX 2856, MYRTLE BEACH, SC 29578-2856
(843) 424-3485
(888) 430-7476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5687
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5687
SC
101YM0800X
Mental Health Counselor
5687
SC
101YP2500X
Professional Counselor
5687
SC
Other
Enumeration date
11/21/2012
Last updated
07/02/2014
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