Individual
MRS. GINA L. DAVIS-LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCADC, CCS
Contact information
Practice address
238 NEPTUNE BLVD, 2B, NEPTUNE, NJ 07753-8600
(732) 897-7701
(732) 897-7705
Mailing address
7 HARVEY AVE, NEPTUNE, NJ 07753-2521
(732) 897-7701
(732) 897-7705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
200031501
NJ
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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