Provider Demographics
NPI:1588733935
Name:DE LANGEN, CHRISTINE HOPE
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:HOPE
Last Name:DE LANGEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16521 13TH AVE W STE 214
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8512
Mailing Address - Country:US
Mailing Address - Phone:206-856-5230
Mailing Address - Fax:
Practice Address - Street 1:16521 13TH AVE W STE 214
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8512
Practice Address - Country:US
Practice Address - Phone:425-493-7634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60078010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health