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MS. SHAWNDY LYON PRESTON M.C.
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1477740413
Individual Registrant:MS. SHAWNDY LYON PRESTON M.C.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
621 W. 96TH AVE. THORTON, CO 80221 US
Tel: 303-427-1386 Fax: 303-650-8413
Tel: 303-427-1386 Fax: 303-650-8413
Contact information for business:
1454 KIPLING ST LAKEWOOD, CO 80215-4630 US
Tel: 303-261-5582 Fax: --
Tel: 303-261-5582 Fax: --
Registration Information:
NPI: 1477740413
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 |
|---|---|---|---|
