Individual
CHARLES FRANKLIN LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
3805 NEW HOLLAND DR, WILMINGTON, NC 28412-7155
(910) 523-6907
Mailing address
3805 NEW HOLLAND DR, WILMINGTON, NC 28412-7155
(910) 523-6907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37272363
CASH ONLY SERVICES
NC
Enumeration date
07/13/2020
Last updated
07/13/2020
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