Lane, Kenneth
Lane, Kenneth is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002-3915. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lane, Kenneth can be contacted via phone (618) 462-2331.Contact Information
Primary practice address
2615 Edwards St
Alton IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-2504
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.012218 | Illinois |
Profile Details
NPI number | 1568650521 |
---|---|
LBN Legal business name | Lane, Kenneth |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2007 |
Last updated | Feb 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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