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Jenna Lane
Professional Counselor in Matthews, North Carolina
NPI 1023725819

Jenna Lane is a Professional Counselor based in Charlotte, NC and is specialized in Professional. Jenna Lane practices in Matthews, NC. The NPI Number for Jenna Lane is 1023725819 and holds a License No. A17813 (North Carolina).

The current practice location address for Jenna Lane is 9719 Northeast Pkwy, Matthews, NC and can be reached out via phone at 704-443-8148.

Location: 9719 Northeast Pkwy, Matthews, NC, 28278-7140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023725819
Provider Name
Jenna Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
9719 Northeast Pkwy, Matthews, NC, 28278-7140
Phone Number
704-443-8148
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9719 Northeast Pkwy
City
Matthews
State
North Carolina
Zip
28105-9712
Phone Number
704-443-8148
Fax Number
person
Provider Business Mailing Address Details
Address
9719 Northeast Pkwy
City
Matthews
State
North Carolina
Zip
28105-9712
Phone Number
704-443-8148
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A17813 (North Carolina)
Definition
Definition to come...
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