Individual
ANDREA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8261 MARKET ST, BOARDMAN, OH 44512-6254
(330) 286-0050
Mailing address
8261 MARKET ST, BOARDMAN, OH 44512-6254
(330) 286-0050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1700246-SUPV
OH
Other
Enumeration date
01/12/2015
Last updated
11/30/2023
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