Langholz, Jerry

Langholz, Jerry is an sole proprietor health care provider with primary practice located at 182 Sw Academy St , Dallas OR 97338-1996. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Langholz, Jerry can be contacted via phone (503) 623-9289.

Contact Information

Primary practice address
182 Sw Academy St Dallas OR 97338-1996
Phone: (503) 623-9289
Fax: (503) 831-1726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon

Profile Details

NPI number 1548669633
LBN Legal business name Langholz, Jerry
Credentials LPCI, CRC, CADCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated Aug 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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