Desiree Amber Lane

NPI #1417325846 in Hines, Oregon

Provider Information

NPI Number: 1417325846
Entity Type: Individual
Name: Desiree Amber Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 2, 2015
Last Updated: Sep 2, 2015

Practice Location

Address: 705 HIGHWAY 20 SOUTH
City: Hines
State: Oregon
ZIP Code: 97738
Phone: (541) 573-7303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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