Individual
MRS. KRISTEN L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CACII
Contact information
Practice address
84 ACOMA BLVD N STE 104, LAKE HAVASU CITY, AZ 86403-6096
(928) 733-5101
(970) 249-2955
Mailing address
84 ACOMA BLVD N STE 104, LAKE HAVASU CITY, AZ 86403-6096
(928) 733-5101
(970) 249-2955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-16476
AZ
Other
Enumeration date
03/14/2012
Last updated
12/12/2022
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