Individual provider · Type 1 NPI

Matthew Lyon, LCDC

Addiction (Substance Use Disorder) Counselor · Tyler, TX

NPI number 1164069811 Active

Practice location

1510 S Vine Ave
Tyler, TX 75701-2826

Mailing address

2419 Vz County Road 2318
Canton, TX 75103-4873

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14377 (TX)

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

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About NPI 1164069811

Matthew Lyon, LCDC's National Provider Identifier is 1164069811, issued on Dec 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tyler, TX. The record was last updated on Dec 2, 2019.