Individual
CHRISTOPHER THOMAS LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
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
11/22/2022
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