Individual provider · Type 1 NPI

Sharada K. Lange, LPC, CSAC

Professional Counselor · West Milwaukee, WI

NPI number 1073015004 Active

Practice location

1610 Miller Park Way
West Milwaukee, WI 53214-3604

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1073015004

Sharada K. Lange, LPC, CSAC's National Provider Identifier is 1073015004, issued on Mar 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Milwaukee, WI. The record was last updated on Mar 6, 2018.