Individual
JULIE LONG
Active
Individual
JULIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMTP, BCMT
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
Primary
0019003869
VA
225800000X
Recreation Therapist
—
—
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
Update your record
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