Individual
MRS. SHERYL ALEXIS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6712 KIMBALL DR, SUITE 103, GIG HARBOR, WA 98335-1212
(206) 300-3923
Mailing address
309 ISLAND BLVD, FOX ISLAND, WA 98333-9712
(206) 300-3923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00056913
WA
106H00000X
Marriage & Family Therapist
Primary
LF60195211
WA
Other
Enumeration date
01/30/2008
Last updated
06/21/2011
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