Individual
DR. CLARA ELIZABETH LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, BCBA
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
Mailing address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(256) 710-6011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3854
AL
103K00000X
Behavior Analyst
2019-033
AL
Other
Enumeration date
04/06/2018
Last updated
08/23/2022
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