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

MS. Jaclyn Lane, LMHCA, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184054520

MS. Jaclyn Lane, LMHCA, SUDP is an Addiction (Substance Use Disorder) Counselor in Woodinville, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

17311 135th Ave NE Ste A800
Woodinville, WA 98072-3581
Phone: (425) 409-6414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC60894412 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60250615 (WA)

Record details

NPI number1184054520
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA , SUDP
Sole proprietorNo
NPI enumeratedNovember 21, 2013
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Other providers in Woodinville