Doctor Name: | MS. KATRINA G LANE |
NPI Number: | 1013071737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, LMFT, LSSP |
License Number: | 12026 |
Business Practice Address: | 621 Lockwood Dr Richardson, TX - 750805604 |
Business Phone Number: | 9724374222 |
Business Fax Number: | 2142956512 |
Mailing Address: | 621 Lockwood Dr, RICHARDSON |
State: | TX |
Postal Code: | 750805604 |
Phone Number: | 9724374222 |
Fax Number: | 2142956512 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 12026 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |