Individual
ALLISON JEANNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 WOOD ST, SUITE 118, SARASOTA, FL 34237-7903
(941) 955-2593
Mailing address
482 BEVERLY RD, VENICE, FL 34293-3611
(941) 275-4796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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