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Lane Devereaux, EDS,LMHC
Mental Health Counselor in Gainesville, Florida
NPI 1578737607

Lane Devereaux is a Mental Health Counselor based in Gainesville, FL and is specialized in Mental Health. Lane Devereaux practices in Gainesville, FL and has the professional credentials of EDS,LMHC. The NPI Number for Lane Devereaux is 1578737607 and holds a License No. MH2159 (Florida).

The current practice location address for Lane Devereaux is 1122 Nw 6Th St, Gainesville, FL and can be reached out via phone at 352-336-8414.

Location: 1122 Nw 6Th St, Gainesville, FL, 32601-4247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578737607
Provider Name
Lane Devereaux
Credential
EDS,LMHC
Provider Entity Type
Individual
Gender
Female
Address
1122 Nw 6Th St, Gainesville, FL, 32601-4247
Phone Number
352-336-8414
Fax Number
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z5583 01 FL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1122 Nw 6Th St
City
Gainesville
State
Florida
Zip
32601-4247
Phone Number
352-336-8414
Fax Number
person
Provider Business Mailing Address Details
Address
1122 Nw 6Th St
City
Gainesville
State
Florida
Zip
32601-4247
Phone Number
352-336-8414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH2159 (Florida)
Definition
Definition to come...
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