Individual
TIMOTHY ROBERT LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LADC
Contact information
Practice address
631 HOGBACK RD, CROWN POINT, NY 12928-1815
(518) 570-1097
Mailing address
631 HOGBACK RD, CROWN POINT, NY 12928-1815
(518) 570-1097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
151.0125941
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0125941
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151.0125941
OFFICE OF PROFESSIONAL REGULATION
VT
Enumeration date
12/28/2018
Last updated
12/28/2018
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