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Lyne J McCarthy, RADT

Counselor, Addiction (Substance Use Disorder) in Grass Valley, CA. Individual provider (NPI-1).

NPI number1982208476
StatusActive
Last updated in NPPESDec 17, 2020

Details

NPI
1982208476
Entity type
Individual (NPI-1)
Name
Lyne J McCarthy
Credential
RADT
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2020
Certification date
Dec 17, 2020
Last updated
Dec 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)R1408261020CAYes

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Phone 530-273-1140

Mailing address

159 Brentwood Dr
Grass Valley, CA 95945-5703

Phone 530-273-1140

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