Individual
JESSICA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 N AUGUSTA ST, STAUNTON, VA 24401-2526
(434) 465-0984
Mailing address
2509 N AUGUSTA ST, STAUNTON, VA 24401-2526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701015969
VA
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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