TODD LEE LANE

SAN BERNARDINO, CA
NPI1720774458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1503610423)
Enumeration Date2023-04-14
Last Update Date2024-04-11
Business Address
TODD LEE LANE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
Mailing Address
TODD LEE LANE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number:
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