Provider Demographics
NPI:1467648816
Name:FITZ HUGH, LYNN (LMHC MS)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:FITZ HUGH
Suffix:
Gender:F
Credentials:LMHC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 NE 155TH ST
Mailing Address - Street 2:#204
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:206-713-0497
Mailing Address - Fax:206-417-0422
Practice Address - Street 1:1716 11TH AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2503
Practice Address - Country:US
Practice Address - Phone:206-713-0497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004916101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health