Individual provider · Type 1 NPI

Mandy Lange

Mental Health Counselor · Clarkston, WA

NPI number 1801266960 Active

Practice location

900 7th St
Clarkston, WA 99403-2005

Fax (509) 769-6057

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801266960

Mandy Lange's National Provider Identifier is 1801266960, issued on Oct 1, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clarkston, WA. The record was last updated on Oct 1, 2015.