person
Mr. Dathan J Lane, BS
Mental Health Counselor in Tacoma, Washington
NPI 1629384375

Dathan J Lane is a Mental Health Counselor based in Tacoma, WA and is specialized in Mental Health. Dathan J Lane practices in Tacoma, WA and has the professional credentials of BS. The NPI Number for Dathan J Lane is 1629384375 and holds a License No. (Washington).

The current practice location address for Dathan J Lane is 4040 S Tyler St, Tacoma, WA and can be reached out via phone at 253-750-2664 and via fax at 253-215-4426.

Location: 4040 S Tyler St, Tacoma, WA, 98409-2143
person
Provider Profile Details
NPI Number
1629384375
Provider Name
Dathan J Lane
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
4040 S Tyler St, Tacoma, WA, 98409-2143
Phone Number
253-750-2664
Fax Number
253-215-4426
Provider Enumeration Date
08/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4040 S Tyler St
City
State
Zip
98409-2143
Phone Number
253-750-2664
Fax Number
253-215-4426
person
Provider Business Mailing Address Details
Address
4040 S Tyler St
City
State
Zip
98409-2143
Phone Number
253-750-2664
Fax Number
253-215-4426
person
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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