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Richard Lang
Peer Specialist in Lewiston, Idaho
NPI 1881457596

Richard Lang is a Peer Specialist based in Lewiston, ID. Richard Lang practices in Lewiston, ID. The NPI Number for Richard Lang is 1881457596 and holds a License No. 13042 (Idaho).

The current practice location address for Richard Lang is 1720 18Th Ave, Lewiston, ID and can be reached out via phone at 208-790-0005 and via fax at 208-746-2294.

Location: 1720 18Th Ave, Lewiston, ID, 83501-4047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881457596
Provider Name
Richard Lang
Credential
Provider Entity Type
Individual
Gender
Male
Address
1720 18Th Ave, Lewiston, ID, 83501-4047
Phone Number
208-790-0005
Fax Number
208-746-2294
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 18Th Ave
City
Lewiston
State
Idaho
Zip
83501-4047
Phone Number
208-790-0005
Fax Number
208-746-2294
person
Provider Business Mailing Address Details
Address
1720 18Th Ave
City
Lewiston
State
Idaho
Zip
83501-4047
Phone Number
208-790-0005
Fax Number
208-746-2294
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
13042 (Idaho)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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