Provider Demographics
NPI:1831922202
Name:HOOK, LYNNE KELLAM (LPC)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:KELLAM
Last Name:HOOK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13708 SPRINGHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3214
Mailing Address - Country:US
Mailing Address - Phone:703-975-4339
Mailing Address - Fax:703-356-0633
Practice Address - Street 1:1483 CHAIN BRIDGE RD STE 301
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5703
Practice Address - Country:US
Practice Address - Phone:703-975-4339
Practice Address - Fax:703-356-0633
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013902101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health