Individual
ASHLEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 38TH STREET APTE7, IRVINGTON, NJ 07111
(862) 279-4649
Mailing address
15 38TH STREET APTE7, IRVINGTON, NJ 07111
(862) 279-4649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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