Individual
MRS. JANICE T LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS - COUNSELING
Contact information
Practice address
114 PLEASANT HOME RD STE B, AUGUSTA, GA 30907-3518
(706) 262-2002
(706) 261-5664
Mailing address
114 PLEASANT HOME RD STE B, AUGUSTA, GA 30907-3518
(706) 262-2002
(706) 261-5664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
308867
GA
101YS0200X
School Counselor
308867
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308867
COUNSELING
GA
Enumeration date
07/25/2017
Last updated
07/21/2022
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