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

Mr. Jesse La Ray Wayne Lyons, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619755931

Mr. Jesse La Ray Wayne Lyons, SUDP is an Addiction (Substance Use Disorder) Counselor in Port Orchard, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

1026 Sidney Ave
Port Orchard, WA 98366-4214
Phone: (360) 337-5753
Fax: (888) 834-8027
Show map & directions

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

Additional practice locations (1)

  • 661 Taylor St, Port Orchard, WA 98366-4300 — (360) 337-5753

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP61648364 (WA)

Record details

NPI number1619755931
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Other providers in Port Orchard