NPI 1003113713

Lynette Lange, MALLPC

Practitioner Professional Counselor Monroe, MI

Practice location

Address: 14930 Laplaisance Rd Suite 106, Monroe, MI 48161-3880
Phone: (734) 241-0180

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401011751 (MI)

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Registry record

NPI: 1003113713
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2011
Record last updated: 15 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.