Individual provider · Type 1 NPI
Lane Devereaux, ED. S., LMHC
Mental Health Counselor · Gainesville, FL
NPI number
1578737607
Active
Practice location
1122 NW 6th St
Gainesville, FL 32601-4247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH2159 (FL) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1578737607
Lane Devereaux, ED. S., LMHC's National Provider Identifier is 1578737607, issued on Apr 18, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gainesville, FL. The record was last updated on Jun 24, 2014.