Provider Demographics
NPI:1164871570
Name:LANGLOIS, JEFFREY A (LPC-TL)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:LANGLOIS
Suffix:
Gender:M
Credentials:LPC-TL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W12802 COUNTY HWY A
Mailing Address - Street 2:PO BOX 86
Mailing Address - City:BOWLER
Mailing Address - State:WI
Mailing Address - Zip Code:54416-0086
Mailing Address - Country:US
Mailing Address - Phone:715-793-3000
Mailing Address - Fax:715-793-1312
Practice Address - Street 1:W12802 COUNTY HWY A
Practice Address - Street 2:
Practice Address - City:BOWLER
Practice Address - State:WI
Practice Address - Zip Code:54416-0086
Practice Address - Country:US
Practice Address - Phone:715-793-3000
Practice Address - Fax:715-793-1312
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2982-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health