Individual
EMILY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC INTERN
Contact information
Practice address
14651 DALLAS PKWY STE 106, DALLAS, TX 75254-8899
(214) 935-3682
(469) 338-4745
Mailing address
14651 DALLAS PKWY STE 106, DALLAS, TX 75254-8899
(214) 935-3682
(469) 338-4745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78832
TX
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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