JEREMY DAVID LANE

HIAWASSEE, GA
NPI1154695625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC006218)
Enumeration Date2012-03-01
Last Update Date2025-12-01
Business Address
JEREMY DAVID LANE LPC
379 LONG VIEW DR APT D
HIAWASSEE, GA 30546-3429
Phone number: 678-603-3702
Mailing Address
JEREMY DAVID LANE LPC
379 LONG VIEW DR APT D
HIAWASSEE, GA 30546-3429
Phone number: 678-603-3702