| Mr Richard Theodore Lange Jr, LCSW | |
|
108 Somerdale Rd, Voorhees, NJ 08043-1901 | |
| (856) 428-5688 | |
| (856) 795-4094 |
| Full Name | Mr Richard Theodore Lange Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 108 Somerdale Rd, Voorhees, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609991470 | NPI | - | NPPES |
| 00166363300 | Other | NJ | INDEPENDENCE BC BC |
| 2321500000 | Other | NJ | AMERIHEALTH PPO |
| 7119413 | Other | NJ | AETNA BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00241100 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC05250800 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Theodore Lange Jr, LCSW 300 Kauffman St, Philadelphia, PA 19147-3210 Ph: (215) 463-1829 | Mr Richard Theodore Lange Jr, LCSW 108 Somerdale Rd, Voorhees, NJ 08043-1901 Ph: (856) 428-5688 |
Mercy Baiden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Alpha Ave, Voorhees, NJ 08043 Phone: 856-651-7553 | |
Dyzhae Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Somerdale Rd, Voorhees, NJ 08043 Phone: 609-471-9898 | |
Gabrielle Joanna Reid, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Laurel Rd Ste 105, Voorhees, NJ 08043 Phone: 856-354-0664 | |
Jessica Hope Levin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Laurel Rd Ste 102, Voorhees, NJ 08043 Phone: 856-772-5809 | |
Aliyah Tamara Price-perry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Echelon Rd Apt 7, Voorhees, NJ 08043 Phone: 856-449-6618 | |
Mr. Georges P Dubois, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1160 Bibbs Rd, Voorhees, NJ 08043 Phone: 609-667-4766 | |
Mr. Brian Paul Colangelo, LCSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1605 E Evesham Rd Ste 200b, Voorhees, NJ 08043 Phone: 856-322-3110 Fax: 856-322-3111 |