Individual
LISA KAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
2505 21ST AVE S STE 303, NASHVILLE, TN 37212-5652
(615) 241-6130
Mailing address
2505 21ST AVE S STE 303, NASHVILLE, TN 37212-5652
(615) 241-6130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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