1. Home
  2. Directory
  3. Washington
  4. Clarkston
  5. Counselor
  6. NPI Profile

LISA LYCAN
NPI 1902568140
Counselor - Addiction (Substance Use Disorder) in Clarkston, WA

Active since October 05, 2021
900 7TH ST, CLARKSTON, WA 99403(509) 758-3341 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Lycan NPPES

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

LISA LYCAN (NPI 1902568140) is an individual addiction (substance use disorder) provider in Clarkston, Washington, licensed in Washington (CP60367811) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1902568140
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA LYCAN
Location Address900 7TH STClarkston, WA 99403-2005
Mailing Address900 7th StClarkston, WA 99403-2005 · (509) 758-3341
Phone(509) 758-3341
Sole ProprietorNo
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1902568140 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 · CP60367811
900 7TH ST, Clarkston, WA 99403
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JOZLYN HAYS
Counselor
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
ERICK TIMOTHY DAWSON BS
Social Worker
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
CARMEN MARGESON
Counselor (Mental Health)
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
KEELY REED
Counselor (Mental Health)
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
AMELIA BIENIEK
Counselor (Mental Health)
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
NICOLE L THOMASON BSW
Social Worker
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
AISHA NICKELLE LAWSON BSW
Social Worker
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341
SHILO FAYE ROSS
Counselor (Mental Health)
900 7TH ST
CLARKSTON, WA 99403
Asotin County (509) 758-3341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Lycan's NPI number?

The NPI number for Lisa Lycan is 1902568140. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Lisa Lycan located?

Lisa Lycan practices at 900 7th St, Clarkston, WA 99403. The listed phone number is (509) 758-3341.

What is Lisa Lycan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Lycan was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.