Provider Demographics
NPI:1740691351
Name:LYNCH, JESSICA GAIL (MS, LMHC, MHP, CMHS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:GAIL
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MS, LMHC, MHP, CMHS
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:GAIL
Other - Last Name:KONKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2323 N DISCOVERY PL
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1566
Mailing Address - Country:US
Mailing Address - Phone:509-747-4174
Mailing Address - Fax:509-838-3847
Practice Address - Street 1:2323 N DISCOVERY PL
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1566
Practice Address - Country:US
Practice Address - Phone:509-747-4174
Practice Address - Fax:509-838-3847
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60799054101YM0800X
101YM0800X
WALH61027977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health