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MR. JESSE LA RAY WAYNE LYONS SUDP
NPI 1619755931
Counselor - Addiction (Substance Use Disorder) in Port Orchard, WA

Active since September 18, 2023
1026 SIDNEY AVE, PORT ORCHARD, WA 98366(360) 337-5753(888) 834-8027 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jesse La Ray Wayne Lyons Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESSE LA RAY WAYNE LYONS SUDP (NPI 1619755931) is an individual addiction (substance use disorder) provider in Port Orchard, Washington, licensed in Washington (CP61648364) and active in the NPI registry since September 2023. He maintains a secondary practice location in Port Orchard.

NPPES Registry Identity

NPI1619755931
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JESSE LA RAY WAYNE LYONSCredential: SUDP
Location Address1026 SIDNEY AVEPort Orchard, WA 98366-4214
Mailing Address614 Division St # Ms -19Port Orchard, WA 98366-4614 · (360) 337-5753 · Fax (888) 834-8027
Phone(360) 337-5753
Fax(888) 834-8027
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1619755931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP61648364
1026 SIDNEY AVE, Port Orchard, WA 98366
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Secondary Practice Location 1

Location 1661 Taylor StPort Orchard, WA 98366-4300 · Phone (360) 337-5753 · Fax (888) 834-8027

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL MURRAY SUDP
Counselor (Addiction (Substance Use Disorder))
1026 SIDNEY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 337-5725

Frequently Asked Questions

What is Jesse Lyons's NPI number?

The NPI number assigned to this healthcare provider is 1619755931, enumerated as an "individual" on September 18, 2023.

Where is the provider located?

The provider is located at 1026 SIDNEY AVE PORT ORCHARD, WA 98366 and the phone number is (360) 337-5753.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).