Individual
MS. JACINTA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
6706 GREENSHIRE DR, INDIANAPOLIS, IN 46220-4022
(703) 981-0284
Mailing address
6706 GREENSHIRE DR, INDIANAPOLIS, IN 46220-4022
(703) 981-0284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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