Organization
CREATIVE CONNECTIONS PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MICHELLE LONG MSW, LICSW (OWNER / PSYCHOTHERAPIST)
(304) 460-8151
Entity
Organization
Contact information
Practice address
1120 SANDY CREEK RD, THORNTON, WV 26440-7614
(304) 460-8151
Mailing address
260 JACK ACRES RD, BUCKHANNON, WV 26201-6506
(304) 460-8151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00943683
WV
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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