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MELISSA ANN LYON
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1760073548
Individual Registrant: MELISSA ANN LYON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
8710 CROTON CT CAPE CANAVERAL, FL 32920-2514 US
Tel: 321-704-4848 Fax: --
Tel: 321-704-4848 Fax: --
Contact information for business:
8710 CROTON CT CAPE CANAVERAL, FL 32920-2514 US
Tel: 321-704-4848 Fax: --
Tel: 321-704-4848 Fax: --
Registration Information:
NPI: 1760073548
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
