Provider Demographics
NPI:1265096721
Name:LYNCH, JESSICA N (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:N
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 N KANAWHA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-2767
Mailing Address - Country:US
Mailing Address - Phone:304-472-1500
Mailing Address - Fax:304-472-9064
Practice Address - Street 1:26 N KANAWHA ST STE 201
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-2767
Practice Address - Country:US
Practice Address - Phone:304-472-1500
Practice Address - Fax:304-472-9064
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2419101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional