| K Lane & Associates Llc | |
|
3095 P. S. Business Center Drive Woodbridge VA 22192 | |
| (703) 653-0650 | |
| Not Available |
| Full Name | K Lane & Associates Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3095 P. S. Business Center Drive, Woodbridge, Virginia |
| Authorized Official Name and Position | Kenyona Lane (THERAPIST/ OWNER) |
| Authorized Official Contact | 7045774576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Lane & Associates Llc 3095 P. S. Business Center Drive Woodbridge VA 22192 Ph: (703) 653-0650 | K Lane & Associates Llc 3095 P. S. Business Center Drive Woodbridge VA 22192 Ph: (703) 653-0650 |
| NPI Number | 1164957346 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164957346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009514 (Virginia) | Primary |
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