Doctor Name: | MR. JEFFREY JOHN LANG |
NPI Number: | 1124212964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LCADC, CPRP |
License Number: | 37LC00013700 |
Business Practice Address: | 452 Wilson Ave Lindenwold, NJ - 080211228 |
Business Phone Number: | 6099803514 |
Business Fax Number: | |
Mailing Address: | 452 Wilson Ave, LINDENWOLD |
State: | NJ |
Postal Code: | 080211228 |
Phone Number: | 6099803514 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2007 |
NPI Last Update Date: | 09/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37LC00013700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |