Provider Demographics
NPI:1699134635
Name:MACPHERSON, LYNDA (LMHC, CDP)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 COLBY AVE STE 706
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3535
Mailing Address - Country:US
Mailing Address - Phone:425-231-5470
Mailing Address - Fax:425-259-3684
Practice Address - Street 1:2722 COLBY AVE STE 706
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3535
Practice Address - Country:US
Practice Address - Phone:425-231-5470
Practice Address - Fax:425-259-3684
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00006404101YA0400X
WALH00010886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)