Individual
KIRSTIN PAIGE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 BROWNSWITCH RD STE C, SLIDELL, LA 70461-1606
(985) 661-0560
Mailing address
151 JANET DR, SAINT ROSE, LA 70087-3746
(337) 849-3818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC9367
LA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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