| Trevor Lance, | |
|
254 E St Ste B, Idaho Falls, ID 83402-3527 | |
| (208) 529-1854 | |
| Not Available |
| Full Name | Trevor Lance |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 254 E St Ste B, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578401980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12951 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Lance, 254 E St Ste B, Idaho Falls, ID 83402-3527 Ph: (208) 529-1854 | Trevor Lance, 254 E St Ste B, Idaho Falls, ID 83402-3527 Ph: (208) 529-1854 |
Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352 | |
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630 | |
Steven Orme, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447 | |
Mckenzie Leigh Duncan, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027 | |
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934 | |
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712 | |
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 |