Individual
BRITTANY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R, PWS
Contact information
Practice address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(971) 610-7363
Mailing address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(502) 741-0187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4479
OR
175T00000X
Peer Specialist
THW000109961
OR
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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