Individual
MISTY ROSE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
340 MAIN ST, SAVANNAH, TN 38372-2051
(731) 727-8012
(731) 727-8013
Mailing address
340 MAIN ST, SAVANNAH, TN 38372-2051
(731) 727-8012
(731) 727-8013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4791
TN
Other
Enumeration date
01/09/2012
Last updated
04/10/2025
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