Individual
LAUREN ANTOINETTE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
732 E GRAND BLANC RD, GRAND BLANC, MI 48439-1333
(810) 771-5102
Mailing address
732 E GRAND BLANC RD, GRAND BLANC, MI 48439-1333
(810) 771-5102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018589
MI
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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