Individual
MISS JAMIE L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 MICAH DR, DRAWER M, OLNEY, IL 62450-4720
(618) 395-4306
(618) 395-4507
Mailing address
602 E 5TH ST, MOUNT CARMEL, IL 62863-2152
(618) 262-7473
(618) 263-6579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
11/24/2010
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