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Individual

MS. JILL F LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA ED LPC

Contact information

Practice address
36 CLAYTON ST, ASHEVILLE, NC 28801
(828) 252-1054
(828) 281-2769
Mailing address
3 LEE AVENUE, ASHEVILLE, NC 28004
(828) 252-1054
(828) 281-2769

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3178
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102186
NC
Enumeration date
07/25/2006
Last updated
07/08/2007
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