Individual
EMI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 MADISON BLVD STE 301, HUNTSVILLE, AL 35806-3671
(972) 800-8751
Mailing address
46 GRANT MOUNTAIN CRST, GRANT, AL 35747-8018
(972) 800-8751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92535
TX
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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