MR. Shannon Lane, LCSW, CADC
NPI #1215278304 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1215278304
- Entity Type
- Individual
- Name
- MR. Shannon Lane, LCSW, CADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, CADC
- Enumeration Date
- Mar 14, 2013
- Last Updated
- Aug 15, 2024
Practice Location
- Address
- 682 W BOUGHTON RD STE B
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2199
- Phone
- (630) 945-0429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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