Provider Demographics
NPI:1750134540
Name:WESTFALL, LYNSEY WALKER (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:LYNSEY
Middle Name:WALKER
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 N 35TH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-1622
Mailing Address - Country:US
Mailing Address - Phone:509-289-5480
Mailing Address - Fax:
Practice Address - Street 1:1111 N 35TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-1622
Practice Address - Country:US
Practice Address - Phone:509-289-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61493369101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health