Jennifer R Lane

NPI #1366184079 in Dupo, Illinois

Provider Information

NPI Number: 1366184079
Entity Type: Individual
Name: Jennifer R Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 12, 2022
Last Updated: May 5, 2025

Practice Location

Address: 26 ARNOLD DR
City: Dupo
State: Illinois
ZIP Code: 62239-1722
Phone: (314) 583-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X
Counselor - Professional — Professional	101YP2500X	Primary

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