Individual provider · Type 1 NPI

Nicholas Mark Lange, LPC/LMFT

Professional Counselor · Grand Rapids, MI

NPI number 1083122147 Active

Practice location

6255 28th St. SE, Suite 3, Offices C&d
Grand Rapids, MI 49546

Call (231) 286-2355 Map

Mailing address

599 Oak Meadow Dr
Middleville, MI 49333-8478

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X4101007011 (MI)
Professional Counselor Primary 101YP2500X6401018602 (MI)

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About NPI 1083122147

Nicholas Mark Lange, LPC/LMFT's National Provider Identifier is 1083122147, issued on Jan 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 24, 2023.