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
- City
- Matthews
- State
- North Carolina
- ZIP Code
- 28105-9712
- Phone
- (704) 443-8148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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