LANE PHOENIX WEST

MOUNT VERNON, OH
NPI1275044760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  E.2001796)
Enumeration Date2017-10-24
Last Update Date2024-09-11
Business Address
LANE PHOENIX WEST LPCC
205 E CHESTNUT ST STE B
MOUNT VERNON, OH 43050-3454
Phone number: 740-324-1562
Mailing Address
LANE PHOENIX WEST LPCC
205 E CHESTNUT ST STE B
MOUNT VERNON, OH 43050-3454
Phone number: 740-324-1562
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