Provider Demographics
NPI:1588281463
Name:CASSELLA-KAPUSINSKI, LYNN (LCPC, NCC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:CASSELLA-KAPUSINSKI
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:KAPUSINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC, NCC
Mailing Address - Street 1:38 KIMBALL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:38 KIMBALL RIDGE CT
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2404
Practice Address - Country:US
Practice Address - Phone:410-916-9677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional