Jon Levi Lange
Jon Levi Lange is a Peer Specialist in Niles, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
721 Harris StNiles, OH 44446-2423
Phone: (330) 775-8267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1861020521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2020 |
| Last updated in NPPES | March 30, 2020 |
| Certification date | March 30, 2020 |
| Mailing address | 721 Harris St, Niles, OH 44446-2423 |
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