KEVIN DOUGLAS LANE

SPRINGFIELD, MO
NPI1215281894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2012037394)
Enumeration Date2012-11-03
Last Update Date2021-10-08
Business Address
KEVIN DOUGLAS LANE MS, LPC
3100 S NATIONAL AVE STE 103
SPRINGFIELD, MO 65807-7347
Phone number: 417-322-6622
Mailing Address
KEVIN DOUGLAS LANE MS, LPC
3600 S NATIONAL AVE
SPRINGFIELD, MO 65807-7311
Phone number: 417-322-6622
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