Individual
MRS. CATHERINE B LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2759 STATE ROAD 580 # 112213, CLEARWATER, FL 33761-3352
(727) 804-8623
Mailing address
2759 STATE ROAD 580 # 112213, CLEARWATER, FL 33761-3352
(727) 804-8623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT4017
FL
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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