RYAN LANE

BURLINGTON, VT
NPI1205495306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  151.0134161)
Enumeration Date2019-06-12
Last Update Date2022-12-21
Business Address
RYAN LANE MA
855 PINE ST
BURLINGTON, VT 05401-4924
Phone number: 802-488-6000
Mailing Address
RYAN LANE MA
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920