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Lisa Lycan
Addiction (Substance Use Disorder) Counselor in Clarkston, Washington
NPI 1902568140

Lisa Lycan is an Addiction (Substance Use Disorder) Counselor based in Clarkston, WA and is specialized in Addiction (Substance Use Disorder). Lisa Lycan practices in Clarkston, WA. The NPI Number for Lisa Lycan is 1902568140 and holds a License No. CP60367811 (Washington).

The current practice location address for Lisa Lycan is 900 7Th St, Clarkston, WA and can be reached out via phone at 509-758-3341.

Location: 900 7Th St, Clarkston, WA, 99403-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902568140
Provider Name
Lisa Lycan
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 7Th St, Clarkston, WA, 99403-2005
Phone Number
509-758-3341
Fax Number
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 7Th St
City
Clarkston
State
Washington
Zip
99403-2005
Phone Number
509-758-3341
Fax Number
person
Provider Business Mailing Address Details
Address
900 7Th St
City
Clarkston
State
Washington
Zip
99403-2005
Phone Number
509-758-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP60367811 (Washington)
Definition
Definition to come...
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