Individual provider · Type 1 NPI

Todd Lee Lane

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1720774458 Active

Practice location

1100 N D St
San Bernardino, CA 92410-3524

Call (909) 884-0840 Map

Fax (909) 885-6845

Other practice locations

  • 349 W 11th St, San Bernardino, CA 92410-3513 · (909) 381-3774

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1503610423 (CA)

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

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About NPI 1720774458

Todd Lee Lane's National Provider Identifier is 1720774458, issued on Apr 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 11, 2024.