Jacqueline Lane, BACHELOR LEVEL is a mental health counselor in Jacksonville, FL. Jacqueline Lane, BACHELOR LEVEL NPI is 1588004543. 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:
435 CLARK RD STE 408-5
JACKSONVILLE, FL
ZIP 32218-505
Phone: (904) 765-0665
The enumeration date for this NPI number is 7/4/2013 and was last updated on 7/4/2013.