Provider Demographics
NPI:1235629072
Name:LANE, AUBREY CHRISTINE (LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:CHRISTINE
Last Name:LANE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45716 SE MT SI RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-8741
Mailing Address - Country:US
Mailing Address - Phone:206-962-9007
Mailing Address - Fax:
Practice Address - Street 1:LARCH COUNSELING 15315 1ST AVENUE NORTHEAST
Practice Address - Street 2:#205-A
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019
Practice Address - Country:US
Practice Address - Phone:425-200-0130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACAAR.CG.60578901106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist