Individual
JONNIE SEAY LANE
Active
Individual
JONNIE SEAY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LPC, CCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
2414
NC
101YP2500X
Professional Counselor
Primary
9441
NC
Other
Enumeration date
09/27/2011
Last updated
03/17/2018
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