Individual
JENNIFER LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
Mailing address
1026 HEPBURN ST, WILLIAMSPORT, PA 17701-3423
(215) 459-8384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015711
PA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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