Individual
ANITA LYNN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1907 JOHNSON ST, JENNINGS, LA 70546-3627
(337) 824-1000
Mailing address
1907 JOHNSON ST, JENNINGS, LA 70546-3627
(337) 824-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10185
LA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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