Individual
JASON WILLIAM LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Mailing address
72 COOPER AVE, MOORESTOWN, NJ 08057-3706
(609) 238-2552
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00191600
NJ
Other
Enumeration date
10/26/2019
Last updated
07/24/2024
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