Individual
KHADIJAH ALIMA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 GOOD HOPE RD SE, WASHINGTON, DC 20020-5614
(202) 836-4841
(202) 836-4841
Mailing address
1481 HOWARD RD SE, WASHINGTON, DC 20020-4493
(240) 616-5079
(202) 836-4841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
03/30/2023
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