Individual
MONICA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1829 E FRANKLIN ST, SUITE 100H, CHAPEL HILL, NC 27514-5861
(919) 885-7490
Mailing address
110 LEACROFT WAY, DURHAM, NC 27703-6701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10577
NC
101YM0800X
Mental Health Counselor
A10577
NC
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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