Individual
ASHLEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1318 DALE ST, LONGVIEW, TX 75601-5608
(430) 280-9381
Mailing address
PO BOX, LONGVIEW, TX 75601-5608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
08/08/2024
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