Individual
ELIZABETH NOAMI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 842-7705
(541) 842-7640
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
(541) 500-8171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
95-R-10
OR
Other
Enumeration date
07/09/2010
Last updated
04/06/2023
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