Individual
KENNETH C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PASTORAL COUNSELOR
Contact information
Practice address
1124 STEVENS DR, RICHLAND, WA 99354-3360
(509) 946-1430
(509) 946-1430
Mailing address
PO BOX 1428, RICHLAND, WA 99352-1428
(509) 946-1430
(509) 946-1432
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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