Provider Demographics
NPI:1750548228
Name:LYNCH, CHRISTINE M (MFT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5528 N PALM AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1947
Mailing Address - Country:US
Mailing Address - Phone:559-436-9892
Mailing Address - Fax:559-375-1399
Practice Address - Street 1:5528 N PALM AVE STE 113
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1947
Practice Address - Country:US
Practice Address - Phone:559-436-9892
Practice Address - Fax:559-375-1399
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT42732106H00000X
CAMFC 42732106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist