Delange, Kristen M.

Delange, Kristen M. is an sole proprietor health care provider with primary practice located at 1899 Orchard Lake Rd Ste 203B , Sylvan Lake MI 48320-1776. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Delange, Kristen M. can be contacted via phone (248) 214-2261.

Contact Information

Primary practice address
1899 Orchard Lake Rd Ste 203B Sylvan Lake MI 48320-1776
Phone: (248) 214-2261
Fax: (855) 247-7439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6401011327 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401011327 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401011327 Michigan

Profile Details

NPI number 1245467943
LBN Legal business name Delange, Kristen M.
Credentials MS, LPC, NCC, CAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2009
Last updated Jun 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245467943 NPPES
Michigan MEDICAID 1712452

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