person
Ms. Jaclyn Lane, LMHCA,SUDP
Mental Health Counselor in Woodinville, Washington
NPI 1184054520

Jaclyn Lane is a Mental Health Counselor based in Issaquah, WA and is specialized in Mental Health. Jaclyn Lane practices in Woodinville, WA and has the professional credentials of LMHCA,SUDP. The NPI Number for Jaclyn Lane is 1184054520 and holds a License No. CO60250615 (Washington).

The current practice location address for Jaclyn Lane is 17311 135Th Ave Ne Ste A800, Woodinville, WA and can be reached out via phone at 425-409-6414.

Location: 17311 135Th Ave Ne Ste A800, Woodinville, WA, 98027-2914
person
Provider Profile Details
NPI Number
1184054520
Provider Name
Jaclyn Lane
Credential
LMHCA,SUDP
Provider Entity Type
Individual
Gender
Female
Address
17311 135Th Ave Ne Ste A800, Woodinville, WA, 98027-2914
Phone Number
425-409-6414
Fax Number
Provider Enumeration Date
11/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17311 135Th Ave Ne Ste A800
City
State
Zip
98072-3581
Phone Number
425-409-6414
Fax Number
person
Provider Business Mailing Address Details
Address
17311 135Th Ave Ne Ste A800
City
State
Zip
98072-3581
Phone Number
425-409-6414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MC60894412 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CO60250615 (Washington)
Definition
Definition to come...
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