Individual
ALEXIS NCOLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 PENSACOLA ST APT 304, HONOLULU, HI 96822-3834
(206) 291-0978
Mailing address
1524 PENSACOLA ST APT 304, HONOLULU, HI 96822-3834
(206) 291-0978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC894
HI
106S00000X
Behavior Technician
—
HI
Other
Enumeration date
03/24/2017
Last updated
10/05/2022
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