Individual
JEREMY DAVID LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
379 LONG VIEW DR APT D, HIAWASSEE, GA 30546-3429
(678) 603-3702
Mailing address
379 LONG VIEW DR APT D, HIAWASSEE, GA 30546-3429
(678) 603-3702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006218
GA
Other
Enumeration date
03/01/2012
Last updated
12/01/2025
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