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NPI Code Detail

MEDICARE: JONATHAN LYNCH

MEDICARE: JONATHAN LYNCH
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
1101YM0800XMental Health CounselorIMH11392FL
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1093144156
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LYNCH
Provider Business Mailing Address
First Line : 400 W BENSON BLVD STE 200
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-3829
Country : US
Telephone Number : 907-729-4955
Fax Number : 907-729-3011
Provider Business Practice Location Address
First Line : 400 W BENSON BLVD STE 200
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-3829
Country : US
Telephone Number : 907-729-4955
Fax Number : 907-729-3011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2013
Last Update Date : 11/01/2021

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Directions to “ JONATHAN LYNCH ” Practice Location

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