Individual
KATHERINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4030 MOUNT CARMEL TOBASCO RD STE 102, CINCINNATI, OH 45255-3408
(513) 488-7161
Mailing address
837 BAKEWELL ST, COVINGTON, KY 41011-1229
(765) 438-8030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1801535
OH
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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