IndividualActive
Desarae Lane
NPI 1003182379 · Counselor · Grants Pass, OR
Provider details
- NPI number
- 1003182379
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
715 Sw Ramsey Ave
Grants Pass, OR 97527-5500
Phone: (541) 956-4943
Approximate (ZIP-level) locationGet directions
Mailing address
715 Sw Ramsey Ave
Grants Pass, OR 97527-5500
Registry dates
- Enumerated
- 2012-03-30
- Last updated
- 2012-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.