Kali Lane
Counselor in Centralia, IL. Individual provider (NPI-1).
NPI number1386581924
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1386581924
- Entity type
- Individual (NPI-1)
- Name
- Kali Lane
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2026
- Certification date
- Apr 27, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
904 E Martin Luther King DrCentralia, IL 62801-3058
Phone 618-533-1391 · Fax 618-533-0012
Mailing address
904 E Martin Luther King DrCentralia, IL 62801-3058
Phone 618-533-1391 · Fax 618-533-0012
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