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

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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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.