Lange, Charles Vincent

Lange, Charles Vincent is an individual health care provider with primary practice located at 1007 North Main Street , Dayville CT 06241-0839. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lange, Charles Vincent can be contacted via phone (860) 774-2020.

Contact Information

Primary practice address
1007 North Main Street Dayville CT 06241-0839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003893 Connecticut

Profile Details

NPI number 1790020840
LBN Legal business name Lange, Charles Vincent
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2012
Last updated Nov 30th, 2012 - about 14 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.

Request for update

Popular Providers