MS. Jaclyn Lane, LMHCA, SUDP
NPI #1184054520 in Woodinville, Washington
Provider Information
- NPI Number
- 1184054520
- Entity Type
- Individual
- Name
- MS. Jaclyn Lane, LMHCA, SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHCA, SUDP
- Enumeration Date
- Nov 21, 2013
- Last Updated
- May 19, 2021
Practice Location
- Address
- 17311 135TH AVE NE STE A800
- City
- Woodinville
- State
- Washington
- ZIP Code
- 98072-3581
- Phone
- (425) 409-6414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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