TERESA LYNN LANE

SOUTH LAKE TAHOE, CA
NPI1609014380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  B4608233)
Enumeration Date2009-02-03
Last Update Date2009-02-24
Business Address
Ms. TERESA LYNN LANE
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
Mailing Address
Ms. TERESA LYNN LANE
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-541-5190
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