Individual
CHRISTOPHER THOMAS LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
849 W LEVOY DR STE 108, TAYLORSVILLE, UT 84123-2599
(901) 405-7450
Mailing address
7070 S UNION PARK AVE STE 150, MIDVALE, UT 84047-6043
(801) 405-7450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11565143-6004
UT
101YM0800X
Mental Health Counselor
LH60254611
WA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
08/04/2026
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