Individual
MR. JOHN F LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 W BROADWAY ST, SUITE 300, NORTH LITTLE ROCK, AR 72114-5544
(501) 372-4242
Mailing address
628 W BROADWAY ST, SUITE 300, NORTH LITTLE ROCK, AR 72114-5544
(501) 372-4242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0111L
AR
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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