Individual provider · Type 1 NPI

Lisa Lycan

Addiction (Substance Use Disorder) Counselor · Clarkston, WA

NPI number 1902568140 Active

Practice location

900 7th St
Clarkston, WA 99403-2005

Call (509) 758-3341 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60367811 (WA)

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

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About NPI 1902568140

Lisa Lycan's National Provider Identifier is 1902568140, issued on Oct 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clarkston, WA. The record was last updated on Oct 5, 2021.