person
Mr. Kenneth Lane, LPC
Professional Counselor in Alton, Illinois
NPI 1568650521

Kenneth Lane is a Professional Counselor based in West Frankfort, IL and is specialized in Professional. Kenneth Lane practices in Alton, IL and has the professional credentials of LPC. The NPI Number for Kenneth Lane is 1568650521 and holds a License No. (Illinois).

The current practice location address for Kenneth Lane is 2615 Edwards St, Alton, IL and can be reached out via phone at 618-462-2331 and via fax at 618-462-2504.

Location: 2615 Edwards St, Alton, IL, 62896-2210
person
Provider Profile Details
NPI Number
1568650521
Provider Name
Kenneth Lane
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2615 Edwards St, Alton, IL, 62896-2210
Phone Number
618-462-2331
Fax Number
618-462-2504
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2615 Edwards St
City
State
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
618-462-2504
person
Provider Business Mailing Address Details
Address
2615 Edwards St
City
State
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
618-462-2504
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178.012218 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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