Individual
SHARADA K LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 939-7556
Mailing address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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