Individual
TONY LANGSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
722 HIGH DR, CARMEL, IN 46033-3079
(229) 630-5056
Mailing address
722 HIGH DR, CARMEL, IN 46033-3079
(229) 630-5056
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001507
GA
Other
Enumeration date
12/24/2016
Last updated
10/14/2023
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