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Individual

CHRISTOPHER LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
759 SUSQUEHANNA TRL, WATSONTOWN, PA 17777-8109
(570) 538-1240
(570) 538-1257
Mailing address
759 SUSQUEHANNA TRL, WATSONTOWN, PA 17777-8109
(570) 538-1240
(570) 538-1257

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/23/2013
Last updated
11/23/2013
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