Individual
CAMILLE NATASHA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC- T
Contact information
Practice address
1393 OHIO AVE, BAY SHORE, NY 11706-5216
(347) 869-0322
Mailing address
1393 OHIO AVE, BAY SHORE, NY 11706-5216
(347) 869-0322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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