Provider Demographics
NPI:1801137021
Name:CLINTON, ADRIANNE LYNNE (LPC)
Entity type:Individual
Prefix:MS
First Name:ADRIANNE
Middle Name:LYNNE
Last Name:CLINTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ADRIANNE
Other - Middle Name:LYNNE
Other - Last Name:CLINTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC, CAADC
Mailing Address - Street 1:3992 PENN AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-2203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3992 PENN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-2203
Practice Address - Country:US
Practice Address - Phone:610-207-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-13
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006761101YP2500X
PAC8817101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)