Individual
MS. MELANIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6985 MEADOWPOINT TER, NEW MARKET, MD 21774-6910
(240) 994-3526
Mailing address
26723 RIDGE RD, DAMASCUS, MD 20872-1918
(240) 994-3526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15443
MD
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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