Doctor Name: | MRS. DONNA JEAN LANGSTON |
NPI Number: | 1679583900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 848 |
Business Practice Address: | 252 Upper Luther Rd Red Lodge, MT - 590689555 |
Business Phone Number: | 4064461683 |
Business Fax Number: | |
Mailing Address: | 252 Upper Luther Rd, RED LODGE |
State: | MT |
Postal Code: | 590689555 |
Phone Number: | 4064461683 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |