Individual
MS. ANNETTE ELISE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.S
Contact information
Practice address
4303 CENTRAL AVE.PIKE, KNOXVILLE, TN 37912
(865) 247-7045
(865) 249-8458
Mailing address
4303 CENTRAL AVENUE PIKE, KNOXVILLE, TN 37912-4310
(865) 247-7045
(865) 249-8458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
104100000X
Social Worker
—
TN
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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