Individual
ALEJANDRA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
474 W VERMONT AVE, STE. 104, ESCONDIDO, CA 92025-6584
(760) 294-1281
Mailing address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(626) 484-3291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ENK1800
LA DEPT. OF MENTAL HEALTH
CA
Enumeration date
03/08/2007
Last updated
02/20/2018
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