MRS. Lori Ann Condon, LCSW, CADC

NPI #1649592940 in Ft. Rucker, Alabama

Provider Information

NPI Number: 1649592940
Entity Type: Individual
Name: MRS. Lori Ann Condon, LCSW, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, CADC
Enumeration Date: Feb 28, 2010
Last Updated: Dec 26, 2012

Practice Location

Address: 301 ANDREWS AVENUE
Address 2: CLINICAL SOCIAL WORKER
City: Ft. Rucker
State: Alabama
ZIP Code: 36330
Phone: (334) 255-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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