Andrea Lane

NPI #1760082143 in Andover, Minnesota

Provider Information

NPI Number: 1760082143
Entity Type: Individual
Name: Andrea Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 27, 2020
Last Updated: Jul 27, 2022

Practice Location

Address: 1875 STATION PKWY NW
City: Andover
State: Minnesota
ZIP Code: 55304
Phone: (763) 482-9598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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