Individual provider · Type 1 NPI

Kimberly Lane, LPC

Professional Counselor · San Antonio, TX

NPI number 1619485349 Active

Practice location

540 Madison Oak Dr Ste 340
San Antonio, TX 78258-3921

Mailing address

3914 Fossil Crk
San Antonio, TX 78261-3009

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X74853 (TX)

Professional Counselor: Definition to come...

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About NPI 1619485349

Kimberly Lane, LPC's National Provider Identifier is 1619485349, issued on Jan 16, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Jan 16, 2018.