Provider Demographics
NPI:1205572534
Name:LANGREICH, CAITLIN (LCPC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:LANGREICH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 KINGS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639-9740
Mailing Address - Country:US
Mailing Address - Phone:443-975-4254
Mailing Address - Fax:
Practice Address - Street 1:69 SHERRY LN
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3231
Practice Address - Country:US
Practice Address - Phone:443-968-8331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional