Individual
MS. ANDREA LASHON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 19TH ST N STE 201, BIRMINGHAM, AL 35203-3219
(334) 462-8399
Mailing address
1911 GRAND RESERVE DR, PELHAM, AL 35124-1271
(334) 462-8399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4472
AL
101YP2500X
Professional Counselor
Primary
4472
AL
Other
Enumeration date
07/06/2020
Last updated
02/24/2024
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