Individual
MS. ELAINE J LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,CNS-BC,CACII
Contact information
Practice address
657 HWY 221 NORTH (WHITNEY RD.), SPARTANBURG, SC 20303
(854) 978-8232
(864) 542-2102
Mailing address
165 PERSHING ST, SPARTANBURG, SC 29302-3172
(864) 978-8232
(864) 542-2102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1209018
SC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
18414
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1209018
CACII
SC
Enumeration date
01/30/2013
Last updated
01/08/2015
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