Individual
KRISTINA LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Mailing address
4989 N 3RD ST, LARAMIE, WY 82072-9548
(307) 745-8997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-1134
WY
101YP2500X
Professional Counselor
Primary
LPC-1990
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/17/2019
Last updated
02/18/2026
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