Latasha Nicole Lyons

NPI #1639790264 in Mount Vernon, Illinois

Provider Information

NPI Number: 1639790264
Entity Type: Individual
Name: Latasha Nicole Lyons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: May 5, 2020
Last Updated: May 5, 2020

Practice Location

Address: 1004 MULLIGAN DR
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2099
Phone: (708) 238-1876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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