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Nicholas Mark Lange, LPC/LMFT
Professional Counselor in Grand Rapids, Michigan
NPI 1083122147

Nicholas Mark Lange is a Professional Counselor based in Middleville, MI and is specialized in Professional. Nicholas Mark Lange practices in Grand Rapids, MI and has the professional credentials of LPC/LMFT. The NPI Number for Nicholas Mark Lange is 1083122147 and holds a License No. 4101007011 (Michigan).

The current practice location address for Nicholas Mark Lange is 6255 28Th St. Se, Grand Rapids, MI and can be reached out via phone at 231-286-2355.

Location: 6255 28Th St. Se, Grand Rapids, MI, 49333-8478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083122147
Provider Name
Nicholas Mark Lange
Credential
LPC/LMFT
Provider Entity Type
Individual
Gender
Male
Address
6255 28Th St. Se, Grand Rapids, MI, 49333-8478
Phone Number
231-286-2355
Fax Number
Provider Enumeration Date
01/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1715928 05 MI
institution
Provider Business Practice Location Address Details
Address
6255 28Th St. Se
City
Grand Rapids
State
Michigan
Zip
49546
Phone Number
231-286-2355
Fax Number
person
Provider Business Mailing Address Details
Address
6255 28Th St. Se
City
Grand Rapids
State
Michigan
Zip
49546
Phone Number
231-286-2355
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401018602 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
4101007011 (Michigan)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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