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Individual
CARRIE LANE
Active
Individual
CARRIE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT, LAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LR03140124
CA
106H00000X
Marriage & Family Therapist
Primary
144143
CA
Other
Enumeration date
10/27/2022
Last updated
05/08/2024
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