MEDICARE: ERIN LYNCH LMHC, CDP, MAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00004561	WA
2	101YM0800X	Mental Health Counselor	LH00010987	WA

General Provider Information

NPI Number	:	1699927780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LYNCH LMHC, CDP, MAC

Provider Business Mailing Address
First Line	:	2505 3RD AVE
Second Line	:	SUITE 300 D
City	:	SEATTLE
State	:	WA
Zip	:	98121-3418
Country	:	US
Telephone Number	:	206-727-7777
Fax Number	:	509-757-5560

Provider Business Practice Location Address
First Line	:	2505 3RD AVE
Second Line	:	SUITE 300 D
City	:	SEATTLE
State	:	WA
Zip	:	98121-3418
Country	:	US
Telephone Number	:	206-727-7777
Fax Number	:	206-727-7778

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

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	12/17/2014

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