Individual
MRS. NICOL LYNN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CSC-AD
Contact information
Practice address
14701 NATIONAL HWY SW, SUITES 5 & 6, LAVALE, MD 21502-6573
(301) 687-0940
(301) 687-0948
Mailing address
668 WALNUT DR, FROSTBURG, MD 21532-6045
(301) 687-0940
(301) 687-0948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
007343
MD
Other
Enumeration date
04/21/2007
Last updated
07/08/2007
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