person
Robert R Lane III, CDCA
Addiction (Substance Use Disorder) Counselor in Massillon, Ohio
NPI 1679124960

Robert R Lane III is an Addiction (Substance Use Disorder) Counselor based in Canton, OH and is specialized in Addiction (Substance Use Disorder). Robert R Lane III practices in Massillon, OH and has the professional credentials of CDCA. The NPI Number for Robert R Lane III is 1679124960 and holds a License No. CDCA171972 (Ohio).

The current practice location address for Robert R Lane III is 1660 Nave Rd Se, Massillon, OH and can be reached out via phone at 330-837-9411 and via fax at 330-837-4603.

Location: 1660 Nave Rd Se, Massillon, OH, 44702-1805
person
Provider Profile Details
NPI Number
1679124960
Provider Name
Robert R Lane III
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
1660 Nave Rd Se, Massillon, OH, 44702-1805
Phone Number
330-837-9411
Fax Number
330-837-4603
Provider Enumeration Date
09/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0372173 05 OH
institution
Provider Business Practice Location Address Details
Address
1660 Nave Rd Se
City
State
Zip
44646-9604
Phone Number
330-837-9411
Fax Number
330-837-4603
person
Provider Business Mailing Address Details
Address
1660 Nave Rd Se
City
State
Zip
44646-9604
Phone Number
330-837-9411
Fax Number
330-837-4603
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA171972 (Ohio)
Definition
Definition to come...
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