| Anna R. Lane Ma, Lpc, Ladc, Llc | |
|
384 Merrow Rd Ste P Tolland CT 06084-3970 | |
| (860) 655-9016 | |
| Not Available |
| Full Name | Anna R. Lane Ma, Lpc, Ladc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 384 Merrow Rd Ste P, Tolland, Connecticut |
| Authorized Official Name and Position | Anna R. Lane (OWNER) |
| Authorized Official Contact | 8606559016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna R. Lane Ma, Lpc, Ladc, Llc 384 Merrow Rd Ste D Twin Ponds Center Tolland CT 06084-3957 Ph: (860) 655-9016 | Anna R. Lane Ma, Lpc, Ladc, Llc 384 Merrow Rd Ste P Tolland CT 06084-3970 Ph: (860) 655-9016 |
| NPI Number | 1962729871 |
|---|---|
| Provider Enumeration Date | 05/02/2010 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962729871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000575 (Connecticut) | Secondary |
| 101YP2500X | Counselor - Professional | 001148 (Connecticut) | Primary |
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