Individual
ROBERT MICHAEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC/LADC
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
(207) 626-3612
Mailing address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
(207) 626-3612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1149
ME
101YP2500X
Professional Counselor
CC266
ME
Other
Enumeration date
07/28/2006
Last updated
09/11/2025
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