JILL DEANNA LANE

FORT WAYNE, IN
NPI1467693242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002627A)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2009-03-09
Last Update Date2021-03-15
Business Address
JILL DEANNA LANE MS, MHC
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
JILL DEANNA LANE MS, MHC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-6013