Most Relevant Information
Provider Data
| NPI Number: | 1003246802 |
| Provider Name: | STAR LYNN GENERA LCDC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 10119 |
Most Important Dates
| Enumeration Date: | 11/15/2013 |
| Last Updated: | 11/15/2013 |
Provider Practice Location
1719 ANALOG DR
RICHARDSON
TX
750811944
Practice Location Phone/Fax
| Phone: | 2148129802 |
| Fax: | 5129008325 |
Provider Mailing Location
622 ASBURY PARK
GARLAND
TX
750435403
Provider Mailing Phone/Fax
| Phone: | 2148818118 |
| Fax: |