Lance McCann, MAPC, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Manteno, IL
NPI 1609346451 · NPPES record last updated Dec 4, 2018
Key facts
- NPI
- 1609346451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 411 W Division St
Manteno, IL 60950-1065 - Phone
- (815) 432-5241
- NPI assigned
- Dec 4, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
411 W Division St
Manteno, IL 60950-1065
Mailing address
PO Box 322
Watseka, IL 60970-0322
Other providers in Manteno, IL
- Manteno Springs Assisted Living
- Robert P Martin
- Gerise M. Martinez
- Martins Ambulance Inc
- Arthur J Mattson
- Madison Marie McCormick
- Metropolitan Eyecare Center of Manteno Inc
- Todd D Miller
- Alyssa S Moravec
- Caitlin Marie Murray
All providers in Manteno, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.