Individual provider · Type 1 NPI

Edward Stephen Lyon, CCS, CSAC, CCJP

Addiction (Substance Use Disorder) Counselor · Lumberton, NC

NPI number 1710108519 Active

Practice location

4315 Ludgate Street
Lumberton, NC 28358-2460

Call (910) 301-9273 Map

Fax (910) 738-1991

Mailing address

725 Byrd Road
Selma, NC 27576-9077

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X263 (NC)
Behavior Analyst 103K00000X#1429 (NC)

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

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About NPI 1710108519

Edward Stephen Lyon, CCS, CSAC, CCJP's National Provider Identifier is 1710108519, issued on May 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lumberton, NC. The record was last updated on Dec 22, 2011.