Provider Demographics
NPI:1942376462
Name:LEMMON, CAROL LYN (BA, MA OF COUNSELING)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LYN
Last Name:LEMMON
Suffix:
Gender:F
Credentials:BA, MA OF COUNSELING
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:LYN
Other - Last Name:LEMMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BA, MA
Mailing Address - Street 1:604A HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1218
Mailing Address - Country:US
Mailing Address - Phone:425-349-8326
Mailing Address - Fax:425-349-8304
Practice Address - Street 1:4526 FEDERAL AVE
Practice Address - Street 2:BLDG 1
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2132
Practice Address - Country:US
Practice Address - Phone:425-349-8326
Practice Address - Fax:425-349-8304
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health