National Provider Identifier
Lance Tlustos, CASAC-ADVANCED
Lance Tlustos, CASAC-ADVANCED is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Middleport, NY and a listed phone number of (585) 735-6912.
Profile Overview
- NPI
- 1548955172
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 10, 2023
- Last Updated
- April 10, 2023
Practice Location
- 2957 Drum RD
- Middleport, NY 14105-9732
Phone: (585) 735-6912
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1548955172
- Entity Type
- Individual
- Last Name
- Tlustos
- First Name
- Lance
- Credential
- CASAC-ADVANCED
- Mailing Street Address
- 2957 Drum RD
- Mailing City
- Middleport
- Mailing State
- NY
- Mailing ZIP Code
- 14105-9732
- Mailing Country
- US
- Mailing Phone
- (585) 735-6912
- Practice Street Address
- 2957 Drum RD
- Practice City
- Middleport
- Practice State
- NY
- Practice ZIP Code
- 14105-9732
- Practice Country
- US
- Practice Phone
- (585) 735-6912
- Enumeration Date
- April 10, 2023
- Last Updated
- April 10, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)