Individual
CYNTHIA L LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
330 S 4TH AVE, POCATELLO, ID 83201
(406) 848-4827
(833) 899-5112
Mailing address
129 FAIRWAY CIRCLE, POCATELLO, ID 83201-2051
(406) 848-4827
(833) 899-5112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6934
ID
Other
Enumeration date
05/06/2019
Last updated
10/10/2024
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