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LYNNETTE D EDDINS
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1578700407
Individual Registrant: LYNNETTE D EDDINS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3350 OLIVE AVE FL 2 SIGNAL HILL, CA 90755-4620 US
Tel: 562-424-1869 Fax: --
Tel: 562-424-1869 Fax: --
Contact information for business:
145 E WILLARD ST LONG BEACH, CA 90806-4719 US
Tel: 562-565-3434 Fax: --
Tel: 562-565-3434 Fax: --
Registration Information:
NPI: 1578700407
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ||
| N | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Rehabilitation Practitioner | ||
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator | CA |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
