Jessica D Lane, LPCC-S, LICDC-CS

NPI #1083195796 in West Carrollton, Ohio

Provider Information

NPI Number
1083195796
Entity Type
Individual
Name
Jessica D Lane, LPCC-S, LICDC-CS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPCC-S, LICDC-CS
Enumeration Date
Aug 22, 2018
Last Updated
Nov 3, 2023

Practice Location

Address
113 E CENTRAL AVE
State
Ohio
ZIP Code
45449-1843
Phone
(937) 247-9015

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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