SearchMinnesota171100000X

Nicole Lange, LAC MAOM

NPI 1699127340 · on the registry since 2016 · sole proprietor

Practice

Address
2615 Park Ave
Suite B4
Minneapolis, MN 55407
Phone
(612) 423-9986
Organisation at this address
Let It Be Therapy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota