Individual
GERALDINE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 US HIGHWAY 46 STE B11, MOUNTAIN LAKES, NJ 07046-1656
(908) 625-0925
Mailing address
96 JAMES ST, MORRISTOWN, NJ 07960-5903
(908) 625-0925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00468000
NJ
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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