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Katelyn Lane
Mental Health Counselor in Jefferson City, Tennessee
NPI 1497407720

Katelyn Lane is a Mental Health Counselor based in Nashville, TN and is specialized in Mental Health. Katelyn Lane practices in Jefferson City, TN. The NPI Number for Katelyn Lane is 1497407720 and holds a License No. (Tennessee).

The current practice location address for Katelyn Lane is 222 E Broadway Blvd Ste 205, Jefferson City, TN and can be reached out via phone at 865-999-0601.

Location: 222 E Broadway Blvd Ste 205, Jefferson City, TN, 37203-2253
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Provider Profile Details
NPI Number
1497407720
Provider Name
Katelyn Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
222 E Broadway Blvd Ste 205, Jefferson City, TN, 37203-2253
Phone Number
865-999-0601
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119433789 01 TN DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
222 E Broadway Blvd Ste 205
City
State
Zip
37760-2837
Phone Number
865-999-0601
Fax Number
person
Provider Business Mailing Address Details
Address
222 E Broadway Blvd Ste 205
City
State
Zip
37760-2837
Phone Number
865-999-0601
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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