Amanda Nicole-Marie Lane

NPI #1265085328 in Bremerton, Washington

Provider Information

NPI Number: 1265085328
Entity Type: Individual
Name: Amanda Nicole-Marie Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 18, 2019
Last Updated: Oct 27, 2021

Practice Location

Address: 5455 ALMIRA DR NE
City: Bremerton
State: Washington
ZIP Code: 98311-8330
Phone: (360) 415-5870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary
Counselor	101Y00000X

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