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General NPI Number Information
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NPI Number | 1093833972
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Entity Type | Organization
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Legal Business Name | LANGE COUNSELING, LLC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 E WASHINGTON ST SUITE A
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City | KALISPELL
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State | MT
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Zip | 59901-3968
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Country | US
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Telephone | 406-212-8206
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E WASHINGTON ST SUITE A
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City | KALISPELL
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State | MT
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Zip | 59901-3968
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Country | US
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Telephone | 406-212-8206
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MR. DAVID E. LANGE
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Credential | M.A.
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Telephone | 406-212-8206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1294-LCPC
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License Number State | MT
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