Individual provider · Type 1 NPI

Lyle Mathues Dornon, LCADC

Specialist · Susanville, CA

NPI number 1124162797 Active

Practice location

1410 Chestnut St
Susanville, CA 96130-3719

Call (530) 251-8112 Map

Fax (530) 251-5884

Mailing address

471-450 Jacobs Ln
Susanville, CA 96130-5010

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X331 (NV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

15 other providers at this address

About NPI 1124162797

Lyle Mathues Dornon, LCADC's National Provider Identifier is 1124162797, issued on Feb 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Susanville, CA. The record was last updated on Jul 8, 2007.