Individual
AUSTIN LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 S REDWOOD RD, SLC, UT 84104-5112
(801) 355-2846
Mailing address
1875 S REDWOOD RD, SLC, UT 84104-5112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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