Lyon, Dana M

Lyon, Dana M is an individual health care provider with primary practice located at 9228 George Washington Memorial Hwy , Gloucester VA 23061-4162. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lyon, Dana M can be contacted via phone (804) 693-5057.

Contact Information

Primary practice address
9228 George Washington Memorial Hwy Gloucester VA 23061-4162
Phone: (804) 693-5057
Fax: (804) 693-7407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004659 Virginia

Profile Details

NPI number 1609102193
LBN Legal business name Lyon, Dana M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2009
Last updated Oct 19th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609102193 NPPES
Virginia MEDICAID 1497717615
Virginia Other 294721
Virginia Other 1497717615

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