Individual
JEFFREY LANGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPA
Contact information
Practice address
227 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-2234
(704) 861-2235
Mailing address
PO BOX 550178, GASTONIA, NC 28055-0178
(704) 861-2234
(704) 861-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107436
—
NC
Enumeration date
01/03/2007
Last updated
06/30/2008
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