MR. Lance Wayne Walcott, CASE MANAGER

NPI #1942890470 in Indio, California

Provider Information

NPI Number: 1942890470
Entity Type: Individual
Name: MR. Lance Wayne Walcott, CASE MANAGER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: CASE MANAGER
Enumeration Date: Jan 19, 2021
Last Updated: Nov 1, 2024

Practice Location

Address: 44199 MONROE ST
City: Indio
State: California
ZIP Code: 92201-3096
Phone: (951) 780-2541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Case Manager/Care Coordinator	171M00000X	Primary

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