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NPI 1083853048

NPI 1083853048 : CHRISTINA HAUTH LANGHOFF MSW, LCSW : METAIRIE, LA

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General NPI Number Information
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    NPI Number           |    1083853048
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA HAUTH LANGHOFF MSW, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2009
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    Last Update Date     |    08/12/2019
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Provider Practice Location Address
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    Address Line         |    110 VETERANS MEMORIAL BLVD STE 425 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70005
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    Country              |    US
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    Telephone            |    504-838-8283
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5641 DAVID DR 
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    City                 |    KENNER
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    State                |    LA
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    Zip                  |    70065
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    28797
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    10960
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    License Number State |    LA
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