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Individual

LISA EDENS LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
508 ARBOR GREENE DR, GARNER, NC 27529-7104
(919) 607-1255
Mailing address
508 ARBOR GREENE DR, GARNER, NC 27529-7104
(919) 607-1255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22891
NC
101YM0800X
Mental Health Counselor
A13026
NC

Other

Enumeration date
11/01/2018
Last updated
11/01/2018
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