Individual
JEFF A. LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
5308 PARKLANE DR STE 5, KEARNEY, NE 68847-8629
(308) 251-2222
Mailing address
5308 PARKLANE DR STE 5, KEARNEY, NE 68847-8629
(308) 251-2222
(888) 843-4489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P8301
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080829226
—
NE
Enumeration date
01/16/2008
Last updated
08/24/2023
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