Brian Thomas Lane, LPC
NPI #1720103880 in Waldwick, New Jersey
Provider Information
- NPI Number
- 1720103880
- Entity Type
- Individual
- Name
- Brian Thomas Lane, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 40 BERGEN AVE
- City
- Waldwick
- State
- New Jersey
- ZIP Code
- 07463-1936
- Phone
- (201) 410-7699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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