Provider Demographics
NPI:1023321502
Name:LOFTIN, LYNN (LPC)
Entity type:Individual
Prefix:MR
First Name:LYNN
Middle Name:
Last Name:LOFTIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1279 S 1250 E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-5970
Mailing Address - Country:US
Mailing Address - Phone:801-361-9917
Mailing Address - Fax:801-798-8949
Practice Address - Street 1:31 E 1600 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1011
Practice Address - Country:US
Practice Address - Phone:801-361-9917
Practice Address - Fax:801-798-8949
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT139450-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional