# MR. EDWARD STEPHEN LYON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710108519
- **Gender:** Man
- **Credential:** CCS, CSAC, CCJP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 263 | NC | Yes |
| 103K00000X | Behavior Analyst | \#1429 | NC | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 12/22/2011
