Individual
LONNIE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1401 -C SPRING BANK DR STE 6, OWENSBORO, KY 42303
(270) 791-8550
Mailing address
1401 SPRING BANK DR STE 6C, OWENSBORO, KY 42303-7553
(270) 791-8550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1036
KY
1041C0700X
Clinical Social Worker
Primary
3849
KY
Other
Enumeration date
06/07/2011
Last updated
10/17/2014
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