Individual provider · Type 1 NPI

Mary Lou Lang

Counselor · Waterloo, NY

NPI number 1497638027 Active

Practice location

31 Thurber Dr
Waterloo, NY 13165-1665

Call (315) 539-1980 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497638027

Mary Lou Lang's National Provider Identifier is 1497638027, issued on Jul 30, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waterloo, NY. The record was last updated on Jul 30, 2025.