Individual provider · Type 1 NPI

Ethan Martin Langston

Mental Health Counselor · Memphis, TN

NPI number 1457688798 Active

Practice location

2714 Union Extended, Suite 400
Memphis, TN 38112

Call (901) 320-6100 Map

Mailing address

5087 Flamingo Road
Memphis, TN 38117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1457688798

Ethan Martin Langston's National Provider Identifier is 1457688798, issued on Nov 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on Nov 6, 2009.