person
Kevin Douglas Lane, MS,LPC
Professional Counselor in Springfield, Missouri
NPI 1215281894

Kevin Douglas Lane is a Professional Counselor based in Springfield, MO and is specialized in Professional. Kevin Douglas Lane practices in Springfield, MO and has the professional credentials of MS,LPC. The NPI Number for Kevin Douglas Lane is 1215281894 and holds a License No. 2012037394 (Missouri).

The current practice location address for Kevin Douglas Lane is 3100 S National Ave Ste 103, Springfield, MO and can be reached out via phone at 417-322-6622 and via fax at 417-350-1935.

Location: 3100 S National Ave Ste 103, Springfield, MO, 65807-7311
person
Provider Profile Details
NPI Number
1215281894
Provider Name
Kevin Douglas Lane
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
3100 S National Ave Ste 103, Springfield, MO, 65807-7311
Phone Number
417-322-6622
Fax Number
417-350-1935
Provider Enumeration Date
11/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490000328 05 MO
institution
Provider Business Practice Location Address Details
Address
3100 S National Ave Ste 103
City
State
Zip
65807-7347
Phone Number
417-322-6622
Fax Number
417-350-1935
person
Provider Business Mailing Address Details
Address
3100 S National Ave Ste 103
City
State
Zip
65807-7347
Phone Number
417-322-6622
Fax Number
417-350-1935
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2012037394 (Missouri)
Definition
Definition to come...
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