Basic Information
Provider Information
NPI: 1225497605
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELL
FirstName: LYNN
MiddleName: CALHOUN
NamePrefix:  
NameSuffix:  
Credential: LMHC, NCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7785 SUNSET HWY
Address2: APT B543
City: MERCER ISLAND
State: WA
PostalCode: 980404061
CountryCode: US
TelephoneNumber: 2069069062
FaxNumber:  
Practice Location
Address1: 320 NE 97TH ST STE A
Address2:  
City: SEATTLE
State: WA
PostalCode: 981152042
CountryCode: US
TelephoneNumber: 4256407009
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/15/2016
LastUpdateDate: 02/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XLH 60616123WAY Behavioral Health & Social Service ProvidersCounselorMental Health
390200000X001899-1NYN193400000X SINGLE SPECIALTY GROUPStudent, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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