# MS. LISA LANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1902985922
- **Gender:** F
- **Credential:** MS, ATRL-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 51-036 | WI | — |
| 221700000X | Art Therapist | 51-036 | WI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-226 | ATCB BOARD CERTIFICATION \# | — |
| 01 | — | 1902985922 | INDIVIDUAL NPI \# | — |
| 01 | — | 1952808701 | NPI \#2/ORGANIZATION NPI \# | — |
| 05 | — | 40961100 | — | WI |
| 01 | — | 51-036 | PSYCHOTHERAPY LICENSE \# | WI |