person
Talmage W Delange, MED,LCPC
Professional Counselor in Mountain Home, Idaho
NPI 1124113709

Talmage W Delange is a Professional Counselor based in Mountain Home, ID and is specialized in Professional. Talmage W Delange practices in Mountain Home, ID and has the professional credentials of MED,LCPC. The NPI Number for Talmage W Delange is 1124113709 and holds a License No. LCPC 382 (Idaho).

The current practice location address for Talmage W Delange is 235 North 3Rd East, Mountain Home, ID and can be reached out via phone at 208-724-8120 and via fax at 208-587-2992. You can also correspond with Talmage W Delange through the mailing address at 115 DEWEY STREET, MOUNTAIN HOME, ID - 83647 (mailing address contact number: 208-724-8120).

Location: 235 North 3Rd East, Mountain Home, ID, 83647
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Provider Profile Details
NPI Number
1124113709
Provider Name
Talmage W Delange
Credential
MED,LCPC
Provider Entity Type
Individual
Gender
Male
Address
235 North 3Rd East, Mountain Home, ID, 83647
Phone Number
208-724-8120
Fax Number
208-587-2992
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q5944 01 ID BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
235 North 3Rd East
City
State
Zip
83647
Phone Number
208-724-8120
Fax Number
208-587-2992
person
Provider Business Mailing Address Details
Address
115 Dewey Street
City
State
Zip
83647
Phone Number
208-724-8120
Fax Number
208-587-2992
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC 382 (Idaho)
Definition
Definition to come...
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