Individual
MARY ELLEN LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,LPC,NCC,CADCIII
Contact information
Practice address
2245 N WAHANNA RD, SEASIDE, OR 97138-7833
(503) 791-3181
Mailing address
5 N HIGHWAY 101, # 349, WARRENTON, OR 97146-9313
(503) 791-3181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
030355
OR
101YM0800X
Mental Health Counselor
C1701
OR
101YP2500X
Professional Counselor
Primary
C1701
OR
Other
Enumeration date
07/08/2010
Last updated
10/01/2012
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