Individual provider · Type 1 NPI

Jackie Denise Lyons, LCDC 3

Addiction (Substance Use Disorder) Counselor · Cincinnati, OH

NPI number 1053822684 Active

Practice location

2203 Fulton Ave
Cincinnati, OH 45206-2504

Call (513) 961-4663 Map

Fax (513) 961-4681

Mailing address

2211 Fulton Ave
Cincinnati, OH 45206-2504

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X131083 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053822684

Jackie Denise Lyons, LCDC 3's National Provider Identifier is 1053822684, issued on Oct 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 23, 2017.