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Individual

SHAYLA LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
8025 N POINT BLVD STE 283, WINSTON SALEM, NC 27106-3860
(743) 264-8162
Mailing address
4210 MINERAL AVE, WINSTON SALEM, NC 27105-3748
(743) 264-8162

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NC

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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