Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jackie Denise Lyons, LCDC3

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053822684

Miss. Jackie Denise Lyons, LCDC3 is an Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

2203 Fulton Ave
Cincinnati, OH 45206-2504
Phone: (513) 961-4663
Fax: (513) 961-4681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 131083 (OH)

Record details

NPI number1053822684
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC3
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESOctober 23, 2017

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