Organization
KATHRYN C LONGENBARGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN C LONGENBARGER LLPC (OWNER)
(734) 770-2420
Entity
Organization
Contact information
Practice address
3554 SOUTH CUSTER ROAD, MONROE, MI 48161-9774
(734) 770-2420
Mailing address
845 TANNER LANDING, MONROE, MI 48161-4588
(734) 770-2420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
640102636
MI
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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