Individual
MR. BRANDON S LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
7473 W LAKE MEAD BLVD, LAS VEGAS, NV 89128-0265
(702) 706-8096
Mailing address
9444 SUMMER RAIN DR, LAS VEGAS, NV 89134-0105
(702) 885-7904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP0077
NV
Other
Enumeration date
09/25/2009
Last updated
02/18/2025
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