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NPI Code Detail

MEDICARE: HOLLEE ANNE HUDNELL LYNN MS, LPC, AADC,ICAADC

MEDICARE: HOLLEE ANNE HUDNELL LYNN MS, LPC, AADC,ICAADC
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
1101YP2500XProfessional Counselor3445AL

General Provider Information

NPI Number : 1821454521
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLEE ANNE HUDNELL LYNN MS, LPC, AADC,ICAADC
Provider Business Mailing Address
First Line : PO BOX 1245
Second Line :
City : DOTHAN
State : AL
Zip : 36302-1245
Country : US
Telephone Number : 334-712-6400
Fax Number : 334-712-2673
Provider Business Practice Location Address
First Line : 1672 COLUMBIA HWY
Second Line :
City : DOTHAN
State : AL
Zip : 36303-5434
Country : US
Telephone Number : 334-712-6400
Fax Number : 334-712-2673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2016
Last Update Date : 01/11/2016

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