Individual
CHE'VUN R LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2025 GUADALUPE ST STE 260, AUSTIN, TX 78705-5642
(218) 645-0311
Mailing address
2025 GUADALUPE ST STE 260, AUSTIN, TX 78705-5642
(281) 645-0311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12014
TX
Other
Enumeration date
07/03/2011
Last updated
01/26/2021
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