Provider Demographics
NPI:1831723196
Name:LANG, JOANNE MARGO (MS, LGPC)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARGO
Last Name:LANG
Suffix:
Gender:F
Credentials:MS, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 STRAWBRIDGE TER
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-8945
Mailing Address - Country:US
Mailing Address - Phone:410-371-0232
Mailing Address - Fax:
Practice Address - Street 1:120 S HAYS ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3615
Practice Address - Country:US
Practice Address - Phone:410-877-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health