LISA LYCAN NPI 1902568140

NPI Information

  • NPI: 1902568140
  • Provider Name: LISA LYCAN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 900 7TH ST
    CLARKSTON, WA
    ZIP 99403
  • Phone: (509) 758-3341

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NPI Details

Lisa Lycan is an addiction (substance use disorder) counselor in Clarkston, WA. Lisa Lycan NPI is 1902568140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 7TH ST
CLARKSTON, WA
ZIP 99403-005
Phone: (509) 758-3341

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CP60367811WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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