Individual
MEKENZIE RUSSELL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, LPC/MHSP
Contact information
Practice address
1501 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 748-8556
Mailing address
1501 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 748-8556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5887
TN
Other
Enumeration date
04/11/2023
Last updated
04/24/2026
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