Individual
AMANDA LYNN LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2718 GATEWAY AVE STE 104, BISMARCK, ND 58503-0585
(701) 202-5908
Mailing address
2718 GATEWAY AVE STE 104, BISMARCK, ND 58503-0585
(701) 202-5908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
752-6-1-13-278
ND
Other
Enumeration date
07/29/2016
Last updated
04/01/2021
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