Individual
SANDRA GILBERT-LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1417 BATTLEFIELD BLVD N # 4579, SUITE 260, CHESAPEAKE, VA 23320-4516
(757) 436-0605
(757) 436-0023
Mailing address
1417 N BATTLEFIELD BLVD., SUITE 260, CHESAPEAKE, VA 23320-4579
(757) 436-0605
(757) 436-0023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002051
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053027
BLUECROSS/BLUESHIELD
VA
01
—
227940000
MAGELLAN
—
01
—
229303
COMPSYCH
—
01
—
233450
MAMSI/MDIPA
—
05
—
5403944
—
VA
01
—
A000414
VALUE OPTIONS
—
Enumeration date
08/10/2005
Last updated
01/14/2013
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