Provider Demographics
NPI:1215082888
Name:STURGEON, LYNN CLAIRE (MSW,LICSW)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:CLAIRE
Last Name:STURGEON
Suffix:
Gender:F
Credentials:MSW,LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20016 CEDAR VALLEY RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6332
Mailing Address - Country:US
Mailing Address - Phone:425-672-8496
Mailing Address - Fax:425-673-9322
Practice Address - Street 1:20016 CEDAR VALLEY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6332
Practice Address - Country:US
Practice Address - Phone:425-672-8496
Practice Address - Fax:425-673-9322
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00006798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health