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Individual

ARIELLA LAURA LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
250 W MAIN ST STE 201, TUSTIN, CA 92780-7718
(714) 576-0405
Mailing address
250 W MAIN ST STE 201, TUSTIN, CA 92780-7718

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT132268
CA

Other

Enumeration date
04/15/2022
Last updated
03/23/2025
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