Individual provider · Type 1 NPI

Marayah Lane

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1790905263 Active

Practice location

4944 E Clinton Way, Suite 101
Fresno, CA 93727-1527

Mailing address

PO Box 9092
Fresno, CA 93790-9092

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790905263

Marayah Lane's National Provider Identifier is 1790905263, issued on Apr 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.