Individual
MR. DAVE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC ICS
Contact information
Practice address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Mailing address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12052134
WI
1041C0700X
Clinical Social Worker
1319132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39176600
—
WI
Enumeration date
05/10/2007
Last updated
09/11/2025
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