Individual provider · Type 1 NPI

Darrell Charles Lane Jr.

Marriage & Family Therapist · Los Angeles, CA

NPI number 1104292309 Active

Practice location

655 Maple Ave
Los Angeles, CA 90014-2211

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Mental Health Counselor	101YM0800X	None listed
Marriage & Family Therapist Primary	106H00000X	147367 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1104292309

Darrell Charles Lane Jr.'s National Provider Identifier is 1104292309, issued on Aug 11, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 5, 2025.