MEDICARE: MISS RITA KAY LYNCH LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701003998	VA

General Provider Information

NPI Number	:	1023286200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS RITA KAY LYNCH LPC

Provider Business Mailing Address
First Line	:	504 WILBORN AVE
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-3120
Country	:	US
Telephone Number	:	434-517-3654
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 WILBORN AVE
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-3120
Country	:	US
Telephone Number	:	434-517-3654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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