Individual
JULIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMTP, BCMT
Contact information
Practice address
2707 DELMONICO DR, RICHMOND, VA 23223-2532
(804) 212-2698
Mailing address
3481 HOWARD RD, RICHMOND, VA 23223-1429
(804) 726-0197
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
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