Individual provider · Type 1 NPI

William Bradford Lane Jr., LPC

Counselor · Pocatello, ID

NPI number 1124542147 Active

Practice location

409 Washington Ave
Pocatello, ID 83201-4520

Call (208) 234-2646 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC-6550 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124542147

William Bradford Lane Jr., LPC's National Provider Identifier is 1124542147, issued on Aug 1, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 21, 2022.