Individual
TRINA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
38164 STATE HIGHWAY 63, TALIHINA, OK 74571
(405) 313-6470
Mailing address
PO BOX 104, TALIHINA, OK 74571-0104
(405) 313-6470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
09/19/2019
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