Provider Demographics
NPI:1780871228
Name:LANGDON, ANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:LANGDON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-8601
Mailing Address - Country:US
Mailing Address - Phone:919-870-8699
Mailing Address - Fax:919-870-8544
Practice Address - Street 1:6050 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8601
Practice Address - Country:US
Practice Address - Phone:919-870-8699
Practice Address - Fax:919-870-8544
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6594101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health