Provider Demographics
NPI:1255812301
Name:LANGONE, KATHERIN (LCMHC, MLADC)
Entity type:Individual
Prefix:
First Name:KATHERIN
Middle Name:
Last Name:LANGONE
Suffix:
Gender:F
Credentials:LCMHC, MLADC
Other - Prefix:
Other - First Name:KATHERIN
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:322 W MAIN ST STE 130
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5037
Mailing Address - Country:US
Mailing Address - Phone:802-478-0335
Mailing Address - Fax:603-619-3650
Practice Address - Street 1:322 W MAIN ST STE 130
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5037
Practice Address - Country:US
Practice Address - Phone:802-478-0335
Practice Address - Fax:603-619-3650
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1231101YA0400X
101YM0800X
NH2226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)