Matthew Lyon, LCDC
Counselor, Addiction (Substance Use Disorder) in Tyler, TX. Individual provider (NPI-1).
NPI number1164069811
StatusActive
Last updated in NPPESDec 2, 2019
Details
- NPI
- 1164069811
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Lyon
- Credential
- LCDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Last updated
- Dec 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14377 | TX | Yes |
Practice location
1510 S Vine AveTyler, TX 75701-2826
Phone 903-526-4055
Mailing address
2419 Vz County Road 2318Canton, TX 75103-4873
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All 46 Addiction (Substance Use Disorder) Counselor providers in Tyler · All 6,843 providers in Tyler
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