Individual
JARED DAVID LANGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 CUSTER WAY SE STE D, TUMWATER, WA 98501-3300
(360) 570-8258
(360) 570-1171
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60145157
WA
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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