Individual
MRS. CHARLENE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.,LCSWR
Contact information
Practice address
420 CRUMS MILL ROAD, SUITE 200, HARRISBURG, PA 17112
(347) 768-3662
(516) 872-1138
Mailing address
420 CRUMS MILLS ROAD, SUITE 200, HARRISBURG, PA 17112
(347) 768-3662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R050052
NY
1041C0700X
Clinical Social Worker
Primary
CW019009
PA
Other
Enumeration date
12/01/2006
Last updated
09/07/2023
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