Individual
URSULA BRIDGETT LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC I
Contact information
Practice address
306 WEST FIFTH AVE., NOME, AK 99762
(907) 443-3311
(907) 443-4560
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-4560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3087
AK
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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