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Individual

MRS. CARRIE A LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC, LMFT

Contact information

Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000162
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
MFT.0001244
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013320
KAISER-COMMERCIAL NUMBER
05
18127045
CO
Enumeration date
03/22/2007
Last updated
11/03/2021
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