Provider Demographics
NPI:1548932197
Name:LANGES, CHRISTIE (HCA, CPC)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:LANGES
Suffix:
Gender:F
Credentials:HCA, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 104TH ST S APT Q204
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-6797
Mailing Address - Country:US
Mailing Address - Phone:253-282-3780
Mailing Address - Fax:
Practice Address - Street 1:821 YAKIMA AVE APT 107
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4823
Practice Address - Country:US
Practice Address - Phone:253-282-3780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHM60797922101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor