Organization
ANNA R. LANE MA, LPC, LADC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA R. LANE MA, LPC, LADC (OWNER)
(860) 655-9016
Entity
Organization
Contact information
Practice address
76 EASTERN BLVD STE A, GLASTONBURY, CT 06033-4382
(860) 655-9016
Mailing address
47 MARJORIE LN, MANCHESTER, CT 06042-2076
(860) 655-9016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000575
CT
101YP2500X
Professional Counselor
Primary
001148
CT
Other
Enumeration date
05/02/2010
Last updated
11/26/2025
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