MEDICARE: MS. LYNNE PATRICIA HOSTEIN M.A., L.M.F.T.

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	101YM0800X	Mental Health Counselor	MFC 53602	CA

General Provider Information

NPI Number	:	1134406481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNNE PATRICIA HOSTEIN M.A., L.M.F.T.

Provider Business Mailing Address
First Line	:	6642 RESEDA BLVD
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-5313
Country	:	US
Telephone Number	:	818-800-7284
Fax Number	:	818-776-8903

Provider Business Practice Location Address
First Line	:	6642 RESEDA BLVD
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-5313
Country	:	US
Telephone Number	:	818-800-7284
Fax Number	:	818-776-8903

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

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	11/15/2013

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