Individual provider · Type 1 NPI
Jenna Lane
Professional Counselor · Matthews, NC
NPI number
1023725819
Active
Practice location
9719 Northeast Pkwy
Matthews, NC 28105-9712
Mailing address
13209 Indian Hills Ln
Charlotte, NC 28278-7140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | A17813 (NC) |
Professional Counselor: Definition to come...
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About NPI 1023725819
Jenna Lane's National Provider Identifier is 1023725819, issued on Nov 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Matthews, NC. The record was last updated on Nov 1, 2022.