Provider Demographics
NPI:1255930442
Name:LYNN, ASHLEY (MFT, LPC, LCDC, CAAD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:LYNN
Suffix:
Gender:F
Credentials:MFT, LPC, LCDC, CAAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 JFK BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-2125
Mailing Address - Country:US
Mailing Address - Phone:215-720-1741
Mailing Address - Fax:
Practice Address - Street 1:1628 JFK BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-2125
Practice Address - Country:US
Practice Address - Phone:215-720-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)