ASSA DANELLE LANE

FAYETTEVILLE, NC
NPI1316606833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-27551)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
Ms. ASSA DANELLE LANE lcas-a
3427 MELROSE RD
FAYETTEVILLE, NC 28304-1608
Phone number: 910-378-3470
Mailing Address
Ms. ASSA DANELLE LANE lcas-a
10611 LANIER CLUB DR APT 305
RALEIGH, NC 27617-8550
Phone number: 919-614-5462