TREVOR LANCE

IDAHO FALLS, ID
NPI1578401980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  12951)
Enumeration Date2026-03-24
Last Update Date2026-04-03
Business Address
TREVOR LANCE
254 E ST STE B
IDAHO FALLS, ID 83402-3527
Phone number: 208-529-1854
Mailing Address
TREVOR LANCE
254 E ST STE B
IDAHO FALLS, ID 83402-3527
Phone number: 208-529-1854
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