Individual
ROBERT EARL LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MRC
Contact information
Practice address
214 SUNSET BLVD, LEXINGTON, NC 27292-7854
(336) 406-3006
Mailing address
214 SUNSET BLVD, LEXINGTON, NC 27292-7854
(336) 406-3006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC #6484
NC
101YP2500X
Professional Counselor
LPC #C0695
OR
Other
Enumeration date
10/27/2009
Last updated
10/30/2009
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