Individual provider · Type 1 NPI
Latasha Nicole Lyons
Professional Counselor · Mount Vernon, IL
NPI number
1639790264
Active
Practice location
1004 Mulligan Dr
Mount Vernon, IL 62864-2099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.015569 (IL) |
Professional Counselor: Definition to come...
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About NPI 1639790264
Latasha Nicole Lyons's National Provider Identifier is 1639790264, issued on May 5, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Vernon, IL. The record was last updated on May 5, 2020.