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Individual

DANA B LONG-INNES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
118 29TH AVE S, NASHVILLE, TN 37212-2506
(615) 327-3473
(615) 327-0215
Mailing address
118 29TH AVE S, NASHVILLE, TN 37212-2506
(615) 327-3473
(615) 327-0215

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1430
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC1430
LICENSE
TN
Enumeration date
11/07/2005
Last updated
07/08/2007
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