Individual
CORI EAST-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3242 REMOND DR, DALLAS, TX 75211-1619
(214) 743-1200
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
77780
TX
Other
Enumeration date
12/17/2018
Last updated
05/29/2026
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