Individual
DR. MIRANDA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LCMHC
Contact information
Practice address
12 NEW RD, CANTERBURY, NH 03224-2309
(603) 702-0658
Mailing address
PO BOX 16, CANTERBURY, NH 03224-0016
(603) 702-0658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2363
NH
Other
Enumeration date
04/01/2022
Last updated
05/28/2025
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