Jesse La Ray Wayne Lyons, SUDPT in Port Orchard, WA

Jesse La Ray Wayne Lyons, SUDPT is a Counselor - Addiction (substance Use Disorder) based in Port Orchard, Washington. Jesse La Ray Wayne Lyons is licensed to practice in Washington (license number CO61212988) and his current practice location is 661 Taylor St, Port Orchard, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 337-5753.

NPI number for Jesse La Ray Wayne Lyons is 1619755931 and his current mailing address is 614 Division St # Ms -19, Port Orchard, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619755931.

Contact Information

	Jesse La Ray Wayne Lyons, SUDPT
	661 Taylor St, Port Orchard, WA 98366-4300
	(360) 337-5753
	(888) 834-8027

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse La Ray Wayne Lyons
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	661 Taylor St, Port Orchard, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1619755931
Provider Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023

Medical Identifiers

Medical identifiers for Jesse La Ray Wayne Lyons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619755931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CO61212988 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse La Ray Wayne Lyons is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jesse La Ray Wayne Lyons, SUDPT 614 Division St # Ms -19, Port Orchard, WA 98366-4614 Ph: (360) 337-5753	Jesse La Ray Wayne Lyons, SUDPT 661 Taylor St, Port Orchard, WA 98366-4300 Ph: (360) 337-5753

Reviews and Comments

Counselor in Port Orchard, WA

Peter Elliot Thomas, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5319 Bethel Rd Se, Port Orchard, WA 98367 Phone: 206-504-3203
Mrs. Carol Mae Brigham, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St # Ms -19, Port Orchard, WA 98366 Phone: 360-337-4625 Fax: 360-337-4704
Miss Cassidy Rose Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625
Carlos G Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Lumsden Rd, Port Orchard, WA 98367 Phone: 360-881-7878 Fax: 360-876-0713
Elizabeth Jones, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2497 Bethel Rd Se Ste 201, Port Orchard, WA 98366 Phone: 360-919-5350
Katrina Kane, SUDP/T Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625
Scott Dalgleish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St, Port Orchard, WA 98366 Phone: 360-337-4625

Jesse La Ray Wayne Lyons, SUDPT - Counselor in Port Orchard, WA