DARRELL CHARLES LANE

SAN LEANDRO, CA
NPI1104292309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101Y00000X Counselor
Enumeration Date2015-08-11
Last Update Date2018-07-03
Business Address
DARRELL CHARLES LANE
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Phone number: 510-317-1444
Mailing Address
DARRELL CHARLES LANE
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444