Provider Demographics
NPI:1043373368
Name:LYNCH, KAREN ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 CROYDEN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4768
Mailing Address - Country:US
Mailing Address - Phone:707-430-8815
Mailing Address - Fax:
Practice Address - Street 1:3247 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2412
Practice Address - Country:US
Practice Address - Phone:707-430-8815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA79615OtherBOARD OF BEHAVIORAL SCIENCE MARRIAGE AND FAMILY THERAPIST LICENSE
NV01451OtherBOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS