Individual provider · Type 1 NPI
Jaismin Lane
Addiction (Substance Use Disorder) Counselor · Waterford, MI
NPI number
1396446316
Active
Practice location
1255 N Oakland Blvd
Waterford, MI 48327-1545
Mailing address
8125 Standard
Center Line, MI 48015-1361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1396446316
Jaismin Lane's National Provider Identifier is 1396446316, issued on Mar 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterford, MI. The record was last updated on Mar 16, 2023.