| NPI | 1689147837 |
|---|---|
| Other Name | JACK JAMES LYONS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-09-19 |