Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Darrell Charles Lane Jr.

Individual provider Counselor · NPI 1104292309

Darrell Charles Lane Jr. is a Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

655 Maple Ave
Los Angeles, CA 90014-2211
Phone: (213) 392-1639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 147367 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1104292309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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