Individual provider · Type 1 NPI
Kim Lange, LCMHC
Mental Health Counselor · Wilmington, NC
NPI number
1407842495
Active
Practice location
1508 Military Cutoff Rd Ste 205
Wilmington, NC 28403-5730
Mailing address
206 Causeway Dr Unit 358
Wrightsville Beach, NC 28480-1774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 4248 (NC) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1407842495
Kim Lange, LCMHC's National Provider Identifier is 1407842495, issued on Sep 23, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Nov 2, 2021.