Individual
CASSIDI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
(336) 395-8729
Mailing address
4245 ASHLAND DR, GREENSBORO, NORTH CAROLINA 27407
(704) 654-5288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10860
NC
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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