Individual
WILLIAM LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
9900 GREYWELL TER, MIDLOTHIAN, VA 23112-3676
(443) 760-0216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0734006199
VA
101Y00000X
Counselor
P018335
NC
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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