Rose Lange Counseling, Pllc | |
1411 N Kickapoo St Ste 225 Lincoln IL 62656-1861 | |
(309) 306-2699 | |
Not Available |
Full Name | Rose Lange Counseling, Pllc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1411 N Kickapoo St Ste 225, Lincoln, Illinois |
Authorized Official Name and Position | Rose Lange (OWNER/LEAD THERAPIST) |
Authorized Official Contact | 3093062699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rose Lange Counseling, Pllc 1411 N Kickapoo St Ste 225 Lincoln IL 62656-1861 Ph: (309) 306-2699 | Rose Lange Counseling, Pllc 1411 N Kickapoo St Ste 225 Lincoln IL 62656-1861 Ph: (309) 306-2699 |
NPI Number | 1346909355 |
---|---|
Provider Enumeration Date | 12/17/2021 |
Last Update Date | 12/17/2021 |
Certification Date | 12/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346909355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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