| Nicholas Mark Lange, LPC/LMFT | |
|
6255 28th St. Se, Suite 3, Offices C&d, Grand Rapids, MI 49546 | |
| (231) 286-2355 | |
| Not Available |
| Full Name | Nicholas Mark Lange |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 6255 28th St. Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083122147 | NPI | - | NPPES |
| 1715928 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101007011 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401018602 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Mark Lange, LPC/LMFT 599 Oak Meadow Dr, Middleville, MI 49333-8478 Ph: (231) 286-2355 | Nicholas Mark Lange, LPC/LMFT 6255 28th St. Se, Suite 3, Offices C&d, Grand Rapids, MI 49546 Ph: (231) 286-2355 |
Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750 | |
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657 | |
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176 | |
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724 | |
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284 | |
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392 |