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NPI Code Detail

MEDICARE: REBECCA L LANGSETH MA, LPCC, ATR

MEDICARE: REBECCA L LANGSETH MA, LPCC, ATR
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
1101YM0800XMental Health CounselorCC01562MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC01562OTHERMNMN BOARD OF BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1700308954
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA L LANGSETH MA, LPCC, ATR
Provider Business Mailing Address
First Line : 675 E NICOLLET BLVD STE 250
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-6768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 675 E NICOLLET BLVD STE 250
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-6768
Country : US
Telephone Number : 952-993-3307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2017
Last Update Date : 07/21/2022

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