Individual
MRS. DIANE REID LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
325 MATTHEWS MINT HILL RD, SUITE 104, MATTHEWS, NC 28105-2816
(704) 635-6274
Mailing address
5416 SILVER CREEK DR, WAXHAW, NC 28173-6761
(704) 605-3096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023R
BLUE CROSS BLUE SHIELD
NC
05
—
6102906
—
NC
Enumeration date
04/10/2006
Last updated
02/05/2016
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