Individual
AMANDA MARLIES LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 LAKESIDE CT STE 101, RENO, NV 89509-4862
(775) 786-6880
(775) 786-6899
Mailing address
1420 FOREST STREET, RENO, NV 89509
(775) 772-1458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NV
106H00000X
Marriage & Family Therapist
Primary
MI2893
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033590831
—
NV
Enumeration date
06/17/2015
Last updated
06/30/2021
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