Individual
JENNIFER R LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 ARNOLD DR, DUPO, IL 62239-1722
(314) 583-5108
Mailing address
26 ARNOLD DR, DUPO, IL 62239-1722
(314) 583-5108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022050174
MO
101YS0200X
School Counselor
—
MO
Other
Enumeration date
04/12/2022
Last updated
05/05/2025
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