MEDICARE: BARBARA J LANCON LCDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	2527	TX

General Provider Information

NPI Number	:	1316164411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA J LANCON LCDC

Provider Business Mailing Address
First Line	:	2212 MASON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2030
Country	:	US
Telephone Number	:	713-621-0066
Fax Number	:	731-456-2400

Provider Business Practice Location Address
First Line	:	2212 MASON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-2030
Country	:	US
Telephone Number	:	713-621-0066
Fax Number	:	731-456-2400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	03/15/2026

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