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Individual
JERRY LANGHOLZ
Active
Individual
JERRY LANGHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
C4973
OR
101YM0800X
Mental Health Counselor
—
OR
Other
Enumeration date
08/14/2014
Last updated
03/13/2025
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