MEDICARE: MS. J. LYNN JAMES LCPC

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	101Y00000X	Counselor	180.001634	IL
2	101YM0800X	Mental Health Counselor	39001814A	IN
3	101YP1600X	Pastoral Counselor
4	101YP2500X	Professional Counselor
5	101Y00000X	Counselor

General Provider Information

NPI Number	:	1871667139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. J. LYNN JAMES LCPC

Provider Business Mailing Address
First Line	:	3621 BRIERHILL DR
Second Line	:
City	:	ISLAND LAKE
State	:	IL
Zip	:	60042-9494
Country	:	US
Telephone Number	:	812-345-6941
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 BRIERHILL DR
Second Line	:
City	:	ISLAND LAKE
State	:	IL
Zip	:	60042-9494
Country	:	US
Telephone Number	:	812-345-6941
Fax Number	:

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/21/2022

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