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Timothy Robert Lyman, MA,LADC
Addiction (Substance Use Disorder) Counselor in Crown Point, New York
NPI 1932671096

Timothy Robert Lyman is an Addiction (Substance Use Disorder) Counselor based in Crown Point, NY and is specialized in Addiction (Substance Use Disorder). Timothy Robert Lyman practices in Crown Point, NY and has the professional credentials of MA,LADC. The NPI Number for Timothy Robert Lyman is 1932671096 and holds a License No. 151.0125941 (New York).

The current practice location address for Timothy Robert Lyman is 631 Hogback Rd, Crown Point, NY and can be reached out via phone at 518-570-1097.

Location: 631 Hogback Rd, Crown Point, NY, 12928-1815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932671096
Provider Name
Timothy Robert Lyman
Credential
MA,LADC
Provider Entity Type
Individual
Gender
Male
Address
631 Hogback Rd, Crown Point, NY, 12928-1815
Phone Number
518-570-1097
Fax Number
Provider Enumeration Date
12/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151.0125941 01 VT OFFICE OF PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
631 Hogback Rd
City
Crown Point
State
New York
Zip
12928-1815
Phone Number
518-570-1097
Fax Number
person
Provider Business Mailing Address Details
Address
631 Hogback Rd
City
Crown Point
State
New York
Zip
12928-1815
Phone Number
518-570-1097
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
151.0125941 (Vermont)
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.
151.0125941 (Vermont)
Definition
Definition to come...
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