Individual provider · Type 1 NPI

Jacquelyn C. Lancour, CADC-R

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1235854167 Active

Practice location

1160 Liberty St SE
Salem, OR 97302-4143

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235854167

Jacquelyn C. Lancour, CADC-R's National Provider Identifier is 1235854167, issued on Oct 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Oct 4, 2022.