Provider Information for 1043959695
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KELLY LAUREN LANGSTON LPC-Associate
Sex: Female
NPI: 1043959695
Last Updated: 2022-06-01
Certification Date: 2022-06-01
Certification Date: 2022-06-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043959695 | ||||||||
| Enumeration Date | 2022-06-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 25103 DECKER PRAIRIE ROSEHL RD MAGNOLIA, TX 77355-8865 United States Phone: 903-424-3654 | Fax: | ||||||||
| Primary Practice Address | 17750 CALI DR HOUSTON, TX 77090-2700 United States Phone: 281-586-7600 | Fax: | ||||||||
| Secondary Practice Address(es) | 25103 DECKER PRAIRIE ROSEHL RD | ||||||||
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