Individual
MR. JOEL LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A, L.P.C., N.C.C.
Contact information
Practice address
11111 HALL RD, SUITE 303, UTICA, MI 48317-5711
(989) 444-0036
Mailing address
11111 HALL RD, SUITE 303, UTICA, MI 48317-5711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011929
MI
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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