Individual provider · Type 1 NPI

Kathleen Marie Lange

Addiction (Substance Use Disorder) Counselor · Bethel, AK

NPI number 1083019145 Active

Practice location

829 Chief Eddie Hoffman Hwy, Suite 150
Bethel, AK 99559-0528

Call (907) 543-6100 Map

Fax (907) 543-6159

Mailing address

PO Box 528, Attn: Behavioral Health
Bethel, AK 99559-0528

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083019145

Kathleen Marie Lange's National Provider Identifier is 1083019145, issued on Oct 30, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bethel, AK. The record was last updated on Oct 30, 2014.