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Kenneth Robert Lyons, MS,SUDP
Counselor in Seattle, Washington
NPI 1124558614

Kenneth Robert Lyons is a Counselor based in Seattle, WA. Kenneth Robert Lyons practices in Seattle, WA and has the professional credentials of MS,SUDP. The NPI Number for Kenneth Robert Lyons is 1124558614 and holds a License No. CP61249696 (Washington).

The current practice location address for Kenneth Robert Lyons is 3639 Mlk Jr Way S, Seattle, WA and can be reached out via phone at 206-805-8972.

Location: 3639 Mlk Jr Way S, Seattle, WA, 98144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124558614
Provider Name
Kenneth Robert Lyons
Credential
MS,SUDP
Provider Entity Type
Individual
Gender
Male
Address
3639 Mlk Jr Way S, Seattle, WA, 98144
Phone Number
206-805-8972
Fax Number
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2110425 05 WA
institution
Provider Business Practice Location Address Details
Address
3639 Mlk Jr Way S
City
Seattle
State
Washington
Zip
98144
Phone Number
206-805-8972
Fax Number
person
Provider Business Mailing Address Details
Address
3639 Mlk Jr Way S
City
Seattle
State
Washington
Zip
98144
Phone Number
206-805-8972
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CO60906258 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP61249696 (Washington)
Definition
Definition to come...
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