Individual
ADRIANA LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
707 N 4TH ST, COEUR D ALENE, ID 83814-3022
(208) 416-9371
Mailing address
707 N 4TH ST, COEUR D ALENE, ID 83814-3022
(208) 416-9371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60996342
WA
101YM0800X
Mental Health Counselor
Primary
—
ID
101YM0800X
Mental Health Counselor
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
10/30/2019
Last updated
01/09/2025
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