Individual
MS. MELISSA BROOKE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 E WINDING WAY DR STE 110, FRIENDSWOOD, TX 77546-5391
(832) 377-8813
Mailing address
12523 D BAR DR, SANTA FE, TX 77510-8603
(409) 739-7754
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203529
TX
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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