Individual
MR. ETHAN MARTIN LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2714 UNION EXTENDED, SUITE 400, MEMPHIS, TN 38112
(901) 320-6100
Mailing address
5087 FLAMINGO ROAD, MEMPHIS, TN 38117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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