Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003408394 |
---|---|
Provider Name | Eric J Lancaster |
First Address | Cincinnati, OH 45247-7957 |
Second Address | Cincinnati, OH 45247-7957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2021 |
Last Update Date | 08/02/2021 |