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Individual

MR. JASON CLAYTON LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, M.ED.

Contact information

Practice address
123 WESTWOOD DR, BECKLEY, WV 25801-4245
(304) 362-3189
Mailing address
123 WESTWOOD DR, BECKLEY, WV 25801-4245
(304) 362-3189

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3010
WV

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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