Individual
TERRI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(410) 893-4600
(443) 640-4358
Mailing address
7015 CONCORD RD, PIKESVILLE, MD 21208-6004
(443) 929-6393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC11009
MD
Other
Enumeration date
10/09/2019
Last updated
11/23/2020
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