Individual
KIMBERLY LANGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
724 N MONTEZUMA ST STE A, PRESCOTT, AZ 86301-2066
(928) 308-3569
Mailing address
724 N MONTEZUMA ST STE A, PRESCOTT, AZ 86301-2066
(928) 308-3569
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
21174
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
15353
AZ
101YP2500X
Professional Counselor
Primary
24773
AZ
Other
Enumeration date
09/19/2022
Last updated
04/14/2026
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