Individual
AMY RENEE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2406 CLEVELAND HWY, SUITE 305, DALTON, GA 30721-8155
(706) 277-4883
Mailing address
1659 FARLEY DR, TUNNEL HILL, GA 30755-7769
(423) 802-9080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007501
GA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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