Individual provider · Type 1 NPI
Cheryl Lynn Lyons, CSAC, ICS
Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI number
1336445501
Active
Practice location
2914 Industrial Dr
Madison, WI 53713-4047
Fax (608) 223-3304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15138-132 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15370-134 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1336445501
Cheryl Lynn Lyons, CSAC, ICS's National Provider Identifier is 1336445501, issued on Feb 4, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Feb 4, 2011.