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Individual
MR. JAMES KENNETH LONG
Active
Individual
MR. JAMES KENNETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001941
MO
101YP2500X
Professional Counselor
001941
MO
106H00000X
Marriage & Family Therapist
Primary
001941
MO
Other
Enumeration date
09/21/2005
Last updated
09/11/2025
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