Individual
HARLIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113-1879
(651) 364-9381
(651) 364-0382
Mailing address
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113-1879
(651) 364-9381
(651) 364-9382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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