Provider Demographics
NPI:1316164411
Name:LANCON, BARBARA J (LCDC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:LANCON
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 MASON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-2030
Mailing Address - Country:US
Mailing Address - Phone:713-621-0066
Mailing Address - Fax:731-456-2400
Practice Address - Street 1:2212 MASON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-2030
Practice Address - Country:US
Practice Address - Phone:713-621-0066
Practice Address - Fax:731-456-2400
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2527101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)