Individual
MS. ANNA R. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LADC
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 655-9016
Mailing address
47 MARJORIE LN, MANCHESTER, CT 06042-2076
(860) 655-9016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000575
CT
101YP2500X
Professional Counselor
Primary
001148
CT
Other
Enumeration date
01/15/2010
Last updated
12/21/2023
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