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Individual

JAMES LONGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
365 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 442-0711
(860) 444-4767
Mailing address
365 MONTAUK AVENUE, NEW LONDON, CT 06320
(860) 442-0711
(860) 444-4767

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000098
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4014679
CT
05
4024972
CT
Enumeration date
05/02/2007
Last updated
02/19/2019
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