Individual provider · Type 1 NPI

Jamie K. Lange, LPC

Professional Counselor · Boise, ID

NPI number 1912420498 Active

Practice location

760 E Warm Springs Ave Ste F
Boise, ID 83712-6459

Call (208) 447-7368 Map

Mailing address

5103 N Wildrye Dr
Boise, ID 83703-3823

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-6579 (ID)
Professional Counselor Primary 101YP2500XLPC-6579 (ID)

Professional Counselor: Definition to come...

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About NPI 1912420498

Jamie K. Lange, LPC's National Provider Identifier is 1912420498, issued on Jul 17, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jul 17, 2017.