Individual
AMBER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5620 W TIDWELL RD, HOUSTON, TX 77091-4638
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6858
OK
1041C0700X
Clinical Social Worker
Primary
65705
TX
Other
Enumeration date
10/17/2014
Last updated
02/08/2021
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