Individual provider · Type 1 NPI
Jennifer R. Lane
Professional Counselor · Dupo, IL
NPI number
1366184079
Active
Practice location
26 Arnold Dr
Dupo, IL 62239-1722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | None listed |
| Professional Counselor Primary | 101YP2500X | 2022050174 (MO) |
Professional Counselor: Definition to come...
About NPI 1366184079
Jennifer R. Lane's National Provider Identifier is 1366184079, issued on Apr 12, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dupo, IL. The record was last updated on May 5, 2025.