Jesse La Ray Wayne Lyons, SUDPT | |
661 Taylor St, Port Orchard, WA 98366-4300 | |
(360) 337-5753 | |
(888) 834-8027 |
Full Name | Jesse La Ray Wayne Lyons |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 661 Taylor St, Port Orchard, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619755931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61212988 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jesse La Ray Wayne Lyons, SUDPT 614 Division St # Ms -19, Port Orchard, WA 98366-4614 Ph: (360) 337-5753 | Jesse La Ray Wayne Lyons, SUDPT 661 Taylor St, Port Orchard, WA 98366-4300 Ph: (360) 337-5753 |
Peter Elliot Thomas, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5319 Bethel Rd Se, Port Orchard, WA 98367 Phone: 206-504-3203 | |
Mrs. Carol Mae Brigham, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St # Ms -19, Port Orchard, WA 98366 Phone: 360-337-4625 Fax: 360-337-4704 | |
Miss Cassidy Rose Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Carlos G Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Lumsden Rd, Port Orchard, WA 98367 Phone: 360-881-7878 Fax: 360-876-0713 | |
Katrina Kane, SUDP/T Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Scott Dalgleish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Destanie Tanay Garrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 |