Individual
KIMBERLY A LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C, CADC
Contact information
Practice address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 537-3873
Mailing address
40 MARKET SQ, HOULTON, ME 04730-1742
(207) 215-6213
(207) 532-5518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC7611
ME
101YM0800X
Mental Health Counselor
Primary
XL6561
ME
Other
Enumeration date
09/02/2021
Last updated
11/21/2023
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