Individual
MS. DENISE ANN LONG
Active
Individual
MS. DENISE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, MAC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC215403
NC
101YP2500X
Professional Counselor
NBCC215403
NC
101YP2500X
Professional Counselor
Primary
NCBLPC 2196
NC
Other
Enumeration date
03/26/2007
Last updated
03/26/2019
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