Individual
KACY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W RACE AVE STE 10, SEARCY, AR 72143-4237
(850) 691-9496
Mailing address
406 VIRGIL AVE, SEARCY, AR 72143-3719
(850) 691-9496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1907085
AR
Other
Enumeration date
08/21/2020
Last updated
09/06/2023
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