Organization
REAL TALK THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MARK LANGE LPC/LMFT (LICENSED PROFESSIONAL COUNSELOR)
(231) 286-2355
Entity
Organization
Contact information
Practice address
6255 28TH ST. SE, SUITE 3, OFFICES C&D, GRAND RAPIDS, MI 49546
(231) 286-2355
Mailing address
599 OAK MEADOW DR, MIDDLEVILLE, MI 49333-8478
(231) 286-2355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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