Individual
RANDALL LANGELUTTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-3553
Mailing address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-3553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3300
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240930A
—
KS
Enumeration date
11/13/2018
Last updated
11/13/2018
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