Individual
JILL A LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NYCPS, CRPA
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 630-0583
Mailing address
332 FAIRMOUNT AVE, LIVERPOOL, NY 13088-6406
(315) 630-0583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25951
NY
101YM0800X
Mental Health Counselor
8912
NY
175T00000X
Peer Specialist
25951
NY
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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