Individual
JANIKA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CITY VIEW DR STE 206, EVANSTON, WY 82930-5326
(307) 789-7915
(307) 789-6009
Mailing address
350 CITY VIEW DR STE 206, EVANSTON, WY 82930-5326
(307) 789-7915
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1136
WY
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/07/2021
Last updated
01/05/2024
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