Individual
ANNE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
357 N MOUNTAIN VIEW DR # 206, BAYFIELD, CO 81122-9500
(970) 501-8198
Mailing address
1917 COUNTY ROAD 988, IGNACIO, CO 81137-9643
(970) 501-8198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37504
MT
101YP2500X
Professional Counselor
Primary
LPC.0017421
CO
Other
Enumeration date
04/24/2019
Last updated
11/09/2021
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