Individual
RYAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
855 PINE ST, BURLINGTON, VT 05401-4924
(802) 488-6000
(802) 488-6919
Mailing address
208 FLYNN AVE STE 3J, BURLINGTON, VT 05401-5420
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134161
VT
Other
Enumeration date
06/12/2019
Last updated
12/21/2022
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