NPI | 1851502983 |
---|---|
Former Name | AMBER LANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23273) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01593) |
101YM0800X Counselor, Mental Health (Licence: MI 6401009357) | |
101YM0800X Counselor, Mental Health (Licence: FL MH19206) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2025-06-03 |