Individual
AMBER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 ELM ST E, ROCKWELL, IA 50469-1035
(641) 372-0315
(866) 610-4384
Mailing address
705 ELM ST E, ROCKWELL, IA 50469-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001680
IA
Other
Enumeration date
01/09/2015
Last updated
12/13/2022
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