Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Justin Harrison Lyons, CADCIIQMHAIICRMII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235810672

Justin Harrison Lyons, CADCIIQMHAIICRMII is an Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

320 SW Ramsey Ave
Grants Pass, OR 97527-5529
Phone: (541) 476-2373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 25-11-20660 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 26-CRM-II-0658 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 26-QMHA-II-000648 (OR)

Record details

NPI number1235810672
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCIIQMHAIICRMII
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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