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Individual
MS. LOUISE A. LONG
Active
Individual
MS. LOUISE A. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
005969
NM
106H00000X
Marriage & Family Therapist
Primary
005885
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48276065
—
NM
Enumeration date
05/23/2007
Last updated
08/27/2018
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