Healthcare Provider Details

I. General information

NPI: 1417331539
Provider Name (Legal Business Name): CHRISTINA LANGSETH LPC CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2015
Last Update Date: 07/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2518 CHRISMAR WAY
E PETERSBURG PA
17520-1025
US

IV. Provider business mailing address

2518 CHRISMAR WAY
E PETERSBURG PA
17520-1025
US

V. Phone/Fax

Practice location:
  • Phone: 717-224-0730
  • Fax:
Mailing address:
  • Phone: 717-224-0730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberPC001195
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC001195
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: