Individual
BROOKE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
660 S 200 E, SUITE 308, SALT LAKE CITY, UT 84111-3835
(801) 355-2846
(801) 359-3244
Mailing address
660 S 200 E, SUITE 308, SALT LAKE CITY, UT 84111-3835
(801) 355-2846
(801) 359-3244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7795039-6009
UT
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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