Jenna Lane

NPI #1023725819 in Matthews, North Carolina

Provider Information

NPI Number
1023725819
Entity Type
Individual
Name
Jenna Lane
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Nov 1, 2022
Last Updated
Nov 1, 2022

Practice Location

Address
9719 NORTHEAST PKWY
ZIP Code
28105-9712
Phone
(704) 443-8148

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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