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Individual
NINA LONG
Active
Individual
NINA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAP, ICADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
120999
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4418
FL
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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