Provider Demographics
NPI:1043334501
Name:TOMECK, LYNN ANDREA (LCPC)
Entity type:Individual
Prefix:MR
First Name:LYNN
Middle Name:ANDREA
Last Name:TOMECK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7310 RITCHIE HWY
Mailing Address - Street 2:EMPIRE TOWERS SUITE 308
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3065
Mailing Address - Country:US
Mailing Address - Phone:410-916-1464
Mailing Address - Fax:410-766-9774
Practice Address - Street 1:7310 RITCHIE HWY
Practice Address - Street 2:EMPIRE TOWERS SUITE 308
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3065
Practice Address - Country:US
Practice Address - Phone:410-916-1464
Practice Address - Fax:410-766-9774
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1543101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional