Individual provider · Type 1 NPI

Shani Marie Lyons

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1750929006 Active

Practice location

103 Shoreline Pkwy
San Rafael, CA 94901-5581

Call (415) 713-6453 Map

Mailing address

7231 Plank Ave
El Cerrito, CA 94530-2039

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1750929006

Shani Marie Lyons's National Provider Identifier is 1750929006, issued on Dec 17, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Dec 17, 2019.