KELLY LANE

TAMPA, FL
NPI1225594005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  16685)
Enumeration Date2019-02-16
Last Update Date2019-02-16
Business Address
KELLY LANE LMHC
7821 N DALE MABRY HWY
TAMPA, FL 33614-3275
Phone number: 813-443-4827
Mailing Address
KELLY LANE LMHC
3705 HARROGATE DR
VALRICO, FL 33596-8401
Phone number: