RENEVA LANE

Counselor - Mental Health

Active Individual
NPI: 1518735455

Practice Address

11560 S KEDZIE AVE
Merrionette Park, IL 60803

Phone: (872) 315-5470

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1518735455 is the National Provider Identifier for RENEVA LANE, a Counselor - Mental Health provider located in Merrionette Park, IL. This NPI was enumerated on December 19, 2023.
RENEVA LANE practices at 11560 S KEDZIE AVE, Merrionette Park, IL 60803.

Quick Facts

NPI
1518735455
Type
Individual
Enumerated
Dec 19, 2023
Last Updated
Dec 19, 2023

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