ANDREW LANE

AUSTIN, TX
NPI1588206189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  77712)
Enumeration Date2019-10-15
Last Update Date2019-10-15
Business Address
ANDREW LANE
6609 MANCHACA RD
AUSTIN, TX 78745-4934
Phone number: 512-387-7178
Mailing Address
ANDREW LANE
6609 MANCHACA RD
AUSTIN, TX 78745-4934
Phone number:
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