Individual
MRS. AMANDA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MH 23636
Contact information
Practice address
9999 CHEMSTRAND RD, PENSACOLA, FL 32514-2724
(850) 471-3430
Mailing address
9999 CHEMSTRAND RD, PENSACOLA, FL 32514-2724
(850) 471-3430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23636
FL
Other
Enumeration date
01/29/2024
Last updated
10/01/2024
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