MEDICARE: ALEXIS NICOLE LYON-CLAUS LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	83182	CA
2	106H00000X	Marriage & Family Therapist	01433	NV

General Provider Information

NPI Number	:	1063557908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS NICOLE LYON-CLAUS LMFT

Provider Business Mailing Address
First Line	:	1792 TRIBUTE RD STE 350
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4322
Country	:	US
Telephone Number	:	916-924-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6615 VALLEY HI DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-7076
Country	:	US
Telephone Number	:	916-450-2650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	02/01/2022

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