Individual
MS. PRINCESSA JEANETTE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
237 LOOKOUT PL, MAITLAND, FL 32751-8433
(321) 249-2712
(321) 203-2512
Mailing address
237 LOOKOUT PL, MAITLAND, FL 32751-8433
(321) 249-2712
(321) 203-2512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IHM18485
FL
101YP2500X
Professional Counselor
Primary
MH19769
FL
Other
Enumeration date
07/06/2020
Last updated
03/01/2022
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