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NPI Code Detail

MEDICARE: KESLI LONDON LANGFORD LPC

MEDICARE:   KESLI LONDON LANGFORD  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor74818TX

General Provider Information

NPI Number : 1699418574
Entity Type Code : Individual
Provider Name (Legal Business Name) : KESLI LONDON LANGFORD LPC
Provider Business Mailing Address
First Line : 6071 VILLAGE BEND DR APT 206
Second Line :
City : DALLAS
State : TX
Zip : 75206-3571
Country : US
Telephone Number : 806-676-8281
Fax Number :
Provider Business Practice Location Address
First Line : 4436 KEECHI CREEK RD
Second Line :
City : TYLER
State : TX
Zip : 75703-4056
Country : US
Telephone Number : 806-676-8281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2022
Last Update Date : 06/01/2026

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Directions to “ KESLI LONDON LANGFORD LPC” Practice Location

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