Provider Demographics
NPI:1386210912
Name:LANGLOIS, MARY SUE (CADC-R)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SUE
Last Name:LANGLOIS
Suffix:
Gender:F
Credentials:CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:WILKESBORO CTC
Mailing Address - Street 2:200 NORTHVIEW PLAZA
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-8330
Mailing Address - Country:US
Mailing Address - Phone:336-860-1561
Mailing Address - Fax:336-838-0156
Practice Address - Street 1:200 NORTHVIEW PLZ
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3173
Practice Address - Country:US
Practice Address - Phone:336-860-1561
Practice Address - Fax:336-838-1015
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)