Individual
BENJAMIN RICHARD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 S RIVER RD STE 2, BEDFORD, NH 03110-6930
(603) 255-5267
Mailing address
173 S RIVER RD STE 2, BEDFORD, NH 03110-6930
(603) 255-5267
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1861
MA
106H00000X
Marriage & Family Therapist
Primary
293
NH
172V00000X
Community Health Worker
—
MA
Other
Enumeration date
06/29/2018
Last updated
03/10/2023
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