Provider Demographics
NPI:1265616320
Name:LYNN, NORA LYNNE (MS, LMFT, LPCC)
Entity type:Individual
Prefix:MS
First Name:NORA
Middle Name:LYNNE
Last Name:LYNN
Suffix:
Gender:F
Credentials:MS, LMFT, LPCC
Other - Prefix:MS
Other - First Name:NORA
Other - Middle Name:LYNNE
Other - Last Name:YAMASAKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1393 BAILEY ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5922
Mailing Address - Country:US
Mailing Address - Phone:559-582-4481
Mailing Address - Fax:559-582-6547
Practice Address - Street 1:1393 BAILEY ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5922
Practice Address - Country:US
Practice Address - Phone:559-582-4481
Practice Address - Fax:559-582-6547
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC894101YP2500X
CAMFC 49807106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional