Individual
MICHELLE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2445 FIRE MESA ST, LAS VEGAS, NV 89128-9014
(702) 456-4262
Mailing address
7816 PICNIC ST, LAS VEGAS, NV 89131-8264
(702) 882-6253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP5845
NV
Other
Enumeration date
07/27/2022
Last updated
01/11/2025
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