JAMES HUNTER LANGE

GALLUP, NM
NPI1639907561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CTB-2023-0168)
Enumeration Date2024-07-23
Last Update Date2024-07-23
Business Address
JAMES HUNTER LANGE LSAA
2105 HASLER VALLEY RD
GALLUP, NM 87301
Phone number: 505-481-0219
Mailing Address
JAMES HUNTER LANGE LSAA
PO BOX 1723
GALLUP, NM 87305-1723
Phone number: 505-481-0219