Organization
DEVELOP MINDED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DATHAN LANE LMHC (OWNER/THERAPIST)
(253) 750-2664
Entity
Organization
Contact information
Practice address
4040 S TYLER ST, 9, TACOMA, WA 98409-2158
(253) 750-2664
(253) 276-1917
Mailing address
4040 S TYLER ST, 9, TACOMA, WA 98409-2158
(253) 750-2664
(253) 276-1917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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