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Individual
KRISTI D LONG
Active
Individual
KRISTI D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12156
TX
101YM0800X
Mental Health Counselor
71315
TX
101YP2500X
Professional Counselor
Primary
71315
TX
Other
Enumeration date
08/07/2013
Last updated
10/07/2016
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