Individual
JAMES HUNTER LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
2105 HASLER VALLEY RD, GALLUP, NM 87301
(505) 481-0219
Mailing address
PO BOX 1723, GALLUP, NM 87305-1723
(505) 481-0219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0168
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0879
NM
Other
Enumeration date
07/23/2024
Last updated
03/21/2026
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