Individual
MS. ALICIA N LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
338 MOORELAND RD, MONTGOMERY, AL 36104-5471
(334) 221-0727
Mailing address
338 MOORELAND RD, MONTGOMERY, AL 36104-5471
(334) 221-0727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3793A
AL
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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