Provider Demographics
NPI:1144409632
Name:LYNN, GARY R (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:R
Last Name:LYNN
Suffix:
Gender:M
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9950 CYPRESSWOOD DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3481
Mailing Address - Country:US
Mailing Address - Phone:281-890-6234
Mailing Address - Fax:281-890-6234
Practice Address - Street 1:9950 CYPRESSWOOD DR
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3481
Practice Address - Country:US
Practice Address - Phone:281-890-6234
Practice Address - Fax:281-890-6234
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14596101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional