Organization · Type 2 NPI
Mary Jane Lane LMFT LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Kirkwood, MO
NPI number
1770147548
Active
Practice location
412 S Clay Ave # 212
Kirkwood, MO 63122-5860
Fax (314) 822-9696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Kirkwood
About NPI 1770147548
Mary Jane Lane LMFT LLC's National Provider Identifier is 1770147548, issued on Apr 27, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kirkwood, MO. The record was last updated on Jun 11, 2019.