Provider Demographics
NPI:1205694825
Name:O'BRIEN, LYNN (EDD,LPCC-S,NCC,RPT)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:EDD,LPCC-S,NCC,RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36430 311TH AVE
Mailing Address - Street 2:
Mailing Address - City:LE SUEUR
Mailing Address - State:MN
Mailing Address - Zip Code:56058-4527
Mailing Address - Country:US
Mailing Address - Phone:612-269-9896
Mailing Address - Fax:
Practice Address - Street 1:213 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LE SUEUR
Practice Address - State:MN
Practice Address - Zip Code:56058-1846
Practice Address - Country:US
Practice Address - Phone:507-858-3019
Practice Address - Fax:507-512-7091
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC04296101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty