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Individual

DONNA LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICDC, LPC

Contact information

Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(614) 599-9518
Mailing address
2881 BARCLAY SQ S, COLUMBUS, OH 43209-1119
(614) 599-9518

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161549
OH
101YM0800X
Mental Health Counselor
1700671
OH

Other

Enumeration date
09/02/2016
Last updated
03/17/2018
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