Individual
MS. EMILY LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
250 W LOUDON AVE, LEXINGTON, KY 40508-1272
(859) 254-6732
Mailing address
250 W LOUDON AVE, LEXINGTON, KY 40508-1272
(859) 254-6732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
275062
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
04/13/2022
Last updated
04/13/2022
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