Individual
REBECCA ELIZABETH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(776) 347-3338
(866) 984-3891
Mailing address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(778) 634-7333
(866) 984-3891
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17190
AZ
Other
Enumeration date
03/05/2018
Last updated
09/09/2021
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