Individual provider · Type 1 NPI

Jill Deanna Lane, MS, MHC

Mental Health Counselor · Fort Wayne, IN

NPI number 1467693242 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Call (260) 481-2700 Map

Fax (260) 481-2709

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X39002627A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1467693242

Jill Deanna Lane, MS, MHC's National Provider Identifier is 1467693242, issued on Mar 9, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 15, 2021.