Individual
CAREY D. LANE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4770 ELMHURST DR, BEAUMONT, TX 77706-7708
(810) 814-7371
Mailing address
4770 ELMHURST DR, BEAUMONT, TX 77706-7708
(810) 814-7371
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88855
TX
Other
Enumeration date
05/29/2023
Last updated
07/11/2023
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