| 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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