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Jeremy David Lane, LPC,NCC
Mental Health Counselor in Rome, Georgia
NPI 1154695625

Jeremy David Lane is a Mental Health Counselor based in Rome, GA and is specialized in Mental Health. Jeremy David Lane practices in Rome, GA and has the professional credentials of LPC,NCC. The NPI Number for Jeremy David Lane is 1154695625 and holds a License No. LPC006218 (Georgia).

The current practice location address for Jeremy David Lane is 309 E 3Rd St Apt 5, Rome, GA and can be reached out via phone at 404-425-6264. You can also correspond with Jeremy David Lane through the mailing address at 309 EAST 3RD ST. (APT. 5), ROME, GA - 30161 (mailing address contact number: 404-425-6264).

Location: 309 E 3Rd St Apt 5, Rome, GA, 30161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154695625
Provider Name
Jeremy David Lane
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Male
Address
309 E 3Rd St Apt 5, Rome, GA, 30161
Phone Number
404-425-6264
Fax Number
Provider Enumeration Date
03/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
309 E 3Rd St Apt 5
City
Rome
State
Georgia
Zip
30161-3194
Phone Number
404-425-6264
Fax Number
person
Provider Business Mailing Address Details
Address
309 E 3Rd St Apt 5
City
Rome
State
Georgia
Zip
30161-3194
Phone Number
404-425-6264
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC006218 (Georgia)
Definition
Definition to come...
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