Individual
LYNN E MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT,CSAC
Contact information
Practice address
320 FEDERAL ST, LYNCHBURG, VA 24504-2306
(434) 947-5967
(434) 947-5971
Mailing address
134 ELON RD, MADISON HEIGHTS, VA 24572-2536
(434) 455-2480
(434) 455-2487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000995
VA
101YP2500X
Professional Counselor
Primary
0701002425
VA
106H00000X
Marriage & Family Therapist
0717000590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
01
—
331950
ANTHEM BLUE SHIELD
VA
01
—
O88267
SENTARA
VA
Enumeration date
09/28/2006
Last updated
04/02/2014
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