MEDICARE: FELICIA LYNN

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	CO70011383	WA

General Provider Information

NPI Number	:	1811850944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA LYNN

Provider Business Mailing Address
First Line	:	2531 VICTOR ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2240
Country	:	US
Telephone Number	:	360-223-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2531 VICTOR ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2240
Country	:	US
Telephone Number	:	360-223-9540
Fax Number	:

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

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ FELICIA LYNN ” Practice Location

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