1942376462 NPI number — MS. CAROL LYN LEMMON BA, MA OF COUNSELING

Table of content: MS. CAROL LYN LEMMON BA, MA OF COUNSELING (NPI 1942376462)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942376462 NPI number — MS. CAROL LYN LEMMON BA, MA OF COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEMMON
Provider First Name:
CAROL
Provider Middle Name:
LYN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
BA, MA OF COUNSELING
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEMMON
Provider Other First Name:
CAROL
Provider Other Middle Name:
LYN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
BA, MA.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1942376462
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
604A HAWTHORNE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EVERETT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98201-1218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-349-8326
Provider Business Mailing Address Fax Number:
425-349-8304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4526 FEDERAL AVE
Provider Second Line Business Practice Location Address:
BLDG 1
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98203-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-349-8326
Provider Business Practice Location Address Fax Number:
425-349-8304
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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