person
Todd Lee Lane
Addiction (Substance Use Disorder) Counselor in San Bernardino, California
NPI 1720774458

Todd Lee Lane is an Addiction (Substance Use Disorder) Counselor based in San Bernardino, CA and is specialized in Addiction (Substance Use Disorder). Todd Lee Lane practices in San Bernardino, CA. The NPI Number for Todd Lee Lane is 1720774458 and holds a License No. R1503610423 (California).

The current practice location address for Todd Lee Lane is 349 W 11Th St, San Bernardino, CA and can be reached out via phone at 909-381-3774.

Location: 349 W 11Th St, San Bernardino, CA, 92410-3524
person
Provider Profile Details
NPI Number
1720774458
Provider Name
Todd Lee Lane
Credential
Provider Entity Type
Individual
Gender
Male
Address
349 W 11Th St, San Bernardino, CA, 92410-3524
Phone Number
909-381-3774
Fax Number
Provider Enumeration Date
04/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
349 W 11Th St
City
State
Zip
92410-3513
Phone Number
909-381-3774
Fax Number
person
Provider Business Mailing Address Details
Address
349 W 11Th St
City
State
Zip
92410-3513
Phone Number
909-381-3774
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1503610423 (California)
Definition
Definition to come...
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