Individual
MRS. KRISTINA M LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1006 LINCOLN ST, LISBON, ND 58054-4729
(701) 683-5086
(701) 683-4999
Mailing address
1006 LINCOLN ST, LISBON, ND 58054-4729
(701) 683-5086
(701) 683-4999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25-3-8-91
ND
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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