person
Lance Wayne Walcott, COUNSELOR
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1942890470

Lance Wayne Walcott is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Lance Wayne Walcott practices in Riverside, CA and has the professional credentials of COUNSELOR. The NPI Number for Lance Wayne Walcott is 1942890470 and holds a License No. (California).

The current practice location address for Lance Wayne Walcott is 17270 Roosevelt St, Riverside, CA and can be reached out via phone at 951-780-2541.

Location: 17270 Roosevelt St, Riverside, CA, 92508-9523
person
Provider Profile Details
NPI Number
1942890470
Provider Name
Lance Wayne Walcott
Credential
COUNSELOR
Provider Entity Type
Individual
Gender
Male
Address
17270 Roosevelt St, Riverside, CA, 92508-9523
Phone Number
951-780-2541
Fax Number
Provider Enumeration Date
01/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17270 Roosevelt St
City
State
Zip
92508-9523
Phone Number
951-780-2541
Fax Number
person
Provider Business Mailing Address Details
Address
17270 Roosevelt St
City
State
Zip
92508-9523
Phone Number
951-780-2541
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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