Individual
MR. LANCE RAY TINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC CSAC
Contact information
Practice address
1104 CORPORATE WAY STE 218, SACRAMENTO, CA 95831-3875
(916) 395-4407
Mailing address
1104 CORPORATE WAY STE 218, SACRAMENTO, CA 95831-3875
(916) 395-4407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1368-08
HI
101YP2500X
Professional Counselor
Primary
1982
CA
Other
Enumeration date
04/05/2010
Last updated
06/24/2016
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