Doctor Name: | MR. LANCE M TOLBERT |
NPI Number: | 1407044605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 63385 |
Business Practice Address: | 1000 Fm 300 Levelland, TX - 793366235 |
Business Phone Number: | 8068971987 |
Business Fax Number: | 8068943378 |
Mailing Address: | 1000 Fm 300, LEVELLAND |
State: | TX |
Postal Code: | 793366235 |
Phone Number: | 8068971987 |
Fax Number: | 8068943378 |
NPI Enumeration Date: | 10/12/2007 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |