Reneva Lane
NPI #1518735455 in Merrionette Park, Illinois
Provider Information
- NPI Number
- 1518735455
- Entity Type
- Individual
- Name
- Reneva Lane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 19, 2023
- Last Updated
- Dec 19, 2023
Practice Location
- Address
- 11560 S KEDZIE AVE
- City
- Merrionette Park
- State
- Illinois
- ZIP Code
- 60803-4517
- Phone
- (872) 315-5470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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