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JOHN M LANCASTER LPC, LSATP, CSAC

Addiction Substance Use Disorder

Buena Vista, Virginia

Provider NPI: 1023015864

Provider Information:
 JOHN M LANCASTER LPC, LSATP, CSAC
Gender: M
Not Sole Proprietor

Practice Location:
1844 OAK AVE  BUENA VISTA, VA 24416 US
Tel: 540-319-1014  Fax: --

Business Mailing Address:
1844 OAK AVE  BUENA VISTA, VA 24416 US
Tel: 540-319-1014  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
VA0710000717
N101YA0400XBehavioral Health & Social Service Providers
Counselor
VA0718000006
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
VA0701002063

Other Provider Identifiers:

IssuerNumberStateType
004945271VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS VA - Page 1



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