Individual
ROBERT LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
150 SHOUP AVE, IDAHO FALLS, ID 83402-3657
(208) 528-5700
Mailing address
925 7TH ST, IDAHO FALLS, ID 83401-4909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC5431
ID
Other
Enumeration date
05/12/2009
Last updated
03/28/2016
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