Individual
MR. ROSS SUTHERLAND LYNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED., LPC
Contact information
Practice address
1359 WATERLILY RD, COINJOCK, NC 27923-9740
(252) 207-2523
(252) 453-2883
Mailing address
1359 WATERLILY RD, COINJOCK, NC 27923-9740
(252) 207-2523
(252) 453-2883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4018
NC
101YM0800X
Mental Health Counselor
4018
NC
101YP2500X
Professional Counselor
Primary
4018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131UN
BCBS OF NC
NC
05
—
6102435
—
NC
Enumeration date
09/12/2006
Last updated
09/11/2025
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