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Jennifer R Lane
Professional Counselor in Ferguson, Missouri
NPI 1366184079

Jennifer R Lane is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Jennifer R Lane practices in Ferguson, MO. The NPI Number for Jennifer R Lane is 1366184079 and holds a License No. (Missouri).

The current practice location address for Jennifer R Lane is 200 Church St, Ferguson, MO and can be reached out via phone at 314-824-2042.

Location: 200 Church St, Ferguson, MO, 63104-2419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366184079
Provider Name
Jennifer R Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Church St, Ferguson, MO, 63104-2419
Phone Number
314-824-2042
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
200 Church St
City
Ferguson
State
Missouri
Zip
63135-2413
Phone Number
314-824-2042
Fax Number
person
Provider Business Mailing Address Details
Address
200 Church St
City
Ferguson
State
Missouri
Zip
63135-2413
Phone Number
314-824-2042
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2022050174 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
(Missouri)
Definition
Definition to come...
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