Individual
MR. SCOTT BRIAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
2204 KENTUCKY AVE, PADUCAH, KY 42003-3242
(270) 777-4490
Mailing address
170 OXFORD LN, WEST PADUCAH, KY 42086-9543
(270) 217-9659
(866) 441-1083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
241633
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241633
LPC
KY
05
—
7100567520
—
KY
Enumeration date
08/07/2018
Last updated
03/24/2026
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