Individual
MENLEY RAE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
6685 SULLIVAN RD STE B, GREENWELL SPRINGS, LA 70739-3112
(225) 261-7143
(225) 250-1026
Mailing address
6685 SULLIVAN RD STE B, GREENWELL SPRINGS, LA 70739-3112
(225) 261-7143
(225) 250-1026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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