Provider Demographics
NPI:1528203130
Name:LANGSTON-DYKES, ANN E (MS, LMFT #41232)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:E
Last Name:LANGSTON-DYKES
Suffix:
Gender:F
Credentials:MS, LMFT #41232
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-2229
Mailing Address - Country:US
Mailing Address - Phone:714-727-8811
Mailing Address - Fax:
Practice Address - Street 1:1420 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2229
Practice Address - Country:US
Practice Address - Phone:714-727-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41232106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist