person
Mrs. Hazel Josa Mae Lyons, CDCA
Addiction (Substance Use Disorder) Counselor in West Portsmouth, Ohio
NPI 1962981431

Hazel Josa Mae Lyons is an Addiction (Substance Use Disorder) Counselor based in West Portsmouth, OH and is specialized in Addiction (Substance Use Disorder). Hazel Josa Mae Lyons practices in West Portsmouth, OH and has the professional credentials of CDCA. The NPI Number for Hazel Josa Mae Lyons is 1962981431 and holds a License No. 166897 (Ohio).

The current practice location address for Hazel Josa Mae Lyons is 22664 State Route 73, West Portsmouth, OH and can be reached out via phone at 740-858-6690 and via fax at 740-858-6693.

Location: 22664 State Route 73, West Portsmouth, OH, 45663-6365
person
Provider Profile Details
NPI Number
1962981431
Provider Name
Hazel Josa Mae Lyons
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
22664 State Route 73, West Portsmouth, OH, 45663-6365
Phone Number
740-858-6690
Fax Number
740-858-6693
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548782816 05 OH
institution
Provider Business Practice Location Address Details
Address
22664 State Route 73
City
State
Zip
45663-6365
Phone Number
740-858-6690
Fax Number
740-858-6693
person
Provider Business Mailing Address Details
Address
22664 State Route 73
City
State
Zip
45663-6365
Phone Number
740-858-6690
Fax Number
740-858-6693
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
166897 (Ohio)
Definition
Definition to come...
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