Individual
BRANDI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2855 RED LANE RD, POWHATAN, VA 23139-5121
(804) 495-1088
Mailing address
2855 RED LANE RD, POWHATAN, VA 23139-5121
(804) 382-0811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
03/24/2023
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