Individual
LORI M LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 RUSSELL RD NW, ABINGDON, VA 24210-2761
(276) 393-5728
(276) 628-1112
Mailing address
PO BOX 412, ABINGDON, VA 24212-0412
(276) 393-5728
(276) 393-5728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601094525
—
VA
Enumeration date
12/18/2015
Last updated
08/03/2023
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