MS. JACLYN LANE LMHCA SUDP NPI 1184054520

NPI Information

NPI: 1184054520
Provider Name: MS. JACLYN LANE, LMHCA, SUDP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
17311 135TH AVE NE STE A800
WOODINVILLE, WA
ZIP 98072
Phone: (425) 409-6414
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MS. Jaclyn Lane, LMHCA, SUDP is a mental health counselor in Woodinville, WA. MS. Jaclyn Lane, LMHCA, SUDP NPI is 1184054520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17311 135TH AVE NE STE A800
WOODINVILLE, WA
ZIP 98072-581
Phone: (425) 409-6414

The enumeration date for this NPI number is 11/21/2013 and was last updated on 5/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO60250615	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	MC60894412	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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