Individual
MS. ANDREA DENISE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAS
Contact information
Practice address
5200 SUMMIT MANOR LN APT 309, RALEIGH, NC 27613-7069
(919) 274-8356
Mailing address
5200 SUMMIT MANOR LN APT 309, RALEIGH, NC 27613
(919) 274-8356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20014
NC
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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