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Stephanie Lane
Mental Health Counselor in Longview, Washington
NPI 1316573454

Stephanie Lane is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Stephanie Lane practices in Longview, WA. The NPI Number for Stephanie Lane is 1316573454 and holds a License No. (Washington).

The current practice location address for Stephanie Lane is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419.

Location: 748 14Th Ave, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316573454
Provider Name
Stephanie Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
03/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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