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Individual
MR. JESSE LA RAY WAYNE LYONS
Active
Individual
MR. JESSE LA RAY WAYNE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61212988
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61648364
WA
Other
Enumeration date
09/18/2023
Last updated
05/26/2026
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