Individual provider · Type 1 NPI

Brenda Lane

Mental Health Counselor · Jacksonville, FL

NPI number 1669872461 Active

Practice location

3810-3 Williamsburg Park Blvd
Jacksonville, FL 32257-9220

Call (904) 419-6102 Map

Fax (904) 739-2153

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 3602 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1669872461

Brenda Lane's National Provider Identifier is 1669872461, issued on Aug 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 28, 2014.