Individual
MRS. DANISE E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC,CDCA
Contact information
Practice address
1560 FISHINGER RD, COLUMBUS, OH 43221-2108
(614) 457-7876
(614) 457-1040
Mailing address
1560 FISHINGER RD, COLUMBUS, OH 43221-2108
(614) 457-7876
(614) 457-1040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1000192
OH
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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