Individual provider · Type 1 NPI

Mary Ellen Langston, PhD, LPC, NCC, CADCIII

Professional Counselor · Seaside, OR

NPI number 1619289576 Active

Practice location

2245 N Wahanna Rd
Seaside, OR 97138-7833

Mailing address

5 N Highway 101, # 349
Warrenton, OR 97146-9313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X030355 (OR)
Mental Health Counselor 101YM0800XC1701 (OR)
Professional Counselor Primary 101YP2500XC1701 (OR)

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About NPI 1619289576

Mary Ellen Langston, PhD, LPC, NCC, CADCIII's National Provider Identifier is 1619289576, issued on Jul 8, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Seaside, OR. The record was last updated on Oct 1, 2012.