Individual
BOBBY H LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
(405) 632-1976
Mailing address
6003 N ROBINSON AVE, SUITE 101, OKLAHOMA CITY, OK 73118-7425
(405) 831-3202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
4812
OK
Other
Enumeration date
01/26/2010
Last updated
10/15/2012
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