Provider Demographics
NPI:1346675105
Name:LANGE, HILARY NADINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:NADINE
Last Name:LANGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:NADINE
Other - Middle Name:TOBY
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 QUINEBAUG DR
Mailing Address - Street 2:
Mailing Address - City:DANIELSON
Mailing Address - State:CT
Mailing Address - Zip Code:06239-4123
Mailing Address - Country:US
Mailing Address - Phone:860-315-3818
Mailing Address - Fax:
Practice Address - Street 1:70 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:DANIELSON
Practice Address - State:CT
Practice Address - Zip Code:06239-3014
Practice Address - Country:US
Practice Address - Phone:860-774-0215
Practice Address - Fax:860-774-2256
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional