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Individual

JACOB LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, LPCA, NCC

Contact information

Practice address
803 US HIGHWAY 70A E, HILLSBOROUGH, NC 27278-8528
(919) 417-9211
Mailing address
803 US HIGHWAY 70A E, HILLSBOROUGH, NC 27278-8528

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12428
NC

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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