Shoshanna Noelle Lane

NPI #1003322553 in Medford, Oregon

Provider Information

NPI Number
1003322553
Entity Type
Individual
Name
Shoshanna Noelle Lane
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Dec 20, 2017
Last Updated
Oct 4, 2023

Practice Location

Address
300 W MAIN ST
State
Oregon
ZIP Code
97501-2756
Phone
(541) 772-1777

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Behavior Technician
Counselor - Mental HealthMental Health

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