Individual
CORBY ELIZABETH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
117 W 21ST ST, SUITE 215B, NORFOLK, VA 23517-2246
(757) 406-4128
Mailing address
713 SIR WALTER CIR, VIRGINIA BEACH, VA 23452-5818
(757) 406-4128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002876
VA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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