Whalio Doctors

NPI 1023725819

Jenna Lane

Practitioner Professional Counselor Matthews, NC

Practice location

Address
9719 Northeast Pkwy, Matthews, NC 28105-9712
Phone
(704) 443-8148
Mailing address
13209 Indian Hills Ln, Charlotte, NC 28278-7140

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence A17813 (NC)

Registry record

NPI
1023725819
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Nov 2022
Record last updated
1 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.