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John Lane
Addiction (Substance Use Disorder) Counselor in Fort Smith, Arkansas
NPI 1447671391

John Lane is an Addiction (Substance Use Disorder) Counselor based in Fort Smith, AR and is specialized in Addiction (Substance Use Disorder). John Lane practices in Fort Smith, AR. The NPI Number for John Lane is 1447671391 and holds a License No. (Arkansas).

The current practice location address for John Lane is 615 N 19Th St, Fort Smith, AR and can be reached out via phone at 479-785-4083 and via fax at 479-668-2058.

Location: 615 N 19Th St, Fort Smith, AR, 72901-3319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447671391
Provider Name
John Lane
Credential
Provider Entity Type
Individual
Gender
Male
Address
615 N 19Th St, Fort Smith, AR, 72901-3319
Phone Number
479-785-4083
Fax Number
479-668-2058
Provider Enumeration Date
12/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
615 N 19Th St
City
Fort Smith
State
Arkansas
Zip
72901-3319
Phone Number
479-785-4083
Fax Number
479-668-2058
person
Provider Business Mailing Address Details
Address
615 N 19Th St
City
Fort Smith
State
Arkansas
Zip
72901-3319
Phone Number
479-785-4083
Fax Number
479-668-2058
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Arkansas)
Definition
Definition to come...
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