Individual
KRISTEN M. DELANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, CAADC
Contact information
Practice address
1899 ORCHARD LAKE RD STE 203B, SYLVAN LAKE, MI 48320-1776
(248) 214-2261
(855) 247-7439
Mailing address
3244 WINDWOOD RD, WEST BLOOMFIELD, MI 48324-3236
(616) 566-6175
(855) 247-7439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401011327
MI
101YM0800X
Mental Health Counselor
6401011327
MI
101YP2500X
Professional Counselor
Primary
6401011327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712452
—
MI
Enumeration date
06/19/2009
Last updated
06/21/2023
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