Basic Information
| Provider Information | |||||||||
| NPI: | 1245325232 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARLSON | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | SIOBHAN | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 728 | ||||||||
| Address2: | |||||||||
| City: | SYLVA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287790728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285866600 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 669 S HAYWOOD ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287866703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284562997 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 02/22/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 7116 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.