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Individual
JONATHAN LONG
Active
Individual
JONATHAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066012
—
OH
Enumeration date
08/09/2024
Last updated
11/06/2025
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