Individual
JEAN MARIE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
317 HOSPITAL ST, MOULTON, AL 35650-1269
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051098299
BCBS OF AL PROVIDER #
AL
Enumeration date
12/01/2006
Last updated
10/23/2012
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