Individual
LANCE TEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1645 AD
CADC CERTIFICATION
MA
Enumeration date
03/24/2015
Last updated
03/24/2015
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