Individual
LYLE GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAS, SUDP
Contact information
Practice address
1956 NE KRESKY AVE, CHEHALIS, WA 98532-2307
(360) 740-4380
(360) 740-1877
Mailing address
PO BOX 59, CHEHALIS, WA 98532-0059
(360) 740-4380
(360) 740-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CO61532256
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP70106744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290782
—
WA
Enumeration date
06/24/2024
Last updated
05/12/2026
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