Individual
NANCY LOUISE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
360 PEACHTREE ST NE, ATLANTA, GA 30308-3235
(678) 218-7172
(404) 920-3292
Mailing address
3645 MARKETPLACE BLVD STE 130-275, EAST POINT, GA 30344-5747
(678) 218-7172
(404) 920-3292
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
002281
GA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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