Female

Ms. Betsy Lane LPC, CSAC

Professional Counselor in Jefferson, WI(View on Map)

Full Name

Ms. Betsy Lane LPC, CSAC

NPI Number

1457729436

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/09/2015

Specialties

(Taxonomies)

Code

101YP2500X
101YA0400X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin
Wisconsin

License Number

7641-125
17042-132

Contact
Information

Purpose

Mailing
Location

Address

1541 ANNEX RD
1541 ANNEX RD

City

Jefferson
Jefferson

State

WI
WI

Postal Code

53549-9803
53549-9803

Country

US
US

Telephone Number

(920) 674-3105
(920) 674-3105

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/29/2024

Provider Address

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