Individual
DA'VION LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Mailing address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
(937) 265-6028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2405732-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023211
—
OH
Enumeration date
07/31/2023
Last updated
08/05/2024
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