Individual provider · Type 1 NPI

Shoshanna Noelle Lane

Mental Health Counselor · Medford, OR

NPI number 1003322553 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003322553

Shoshanna Noelle Lane's National Provider Identifier is 1003322553, issued on Dec 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Oct 4, 2023.