Provider Demographics
NPI:1750837613
Name:LOWELL, LYNN M (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:M
Last Name:LOWELL
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11595 PETERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-6418
Mailing Address - Country:US
Mailing Address - Phone:937-661-9290
Mailing Address - Fax:
Practice Address - Street 1:11595 PETERSBURG RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-6418
Practice Address - Country:US
Practice Address - Phone:937-661-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900371SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health