Individual
EDWARD C LONG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 N GRANVILL AVE SUITE C, MUNCIE, MUNCIE, IN 47303-4730
(765) 749-7300
Mailing address
901 N BLAINE ST, MUNCIE, IN 47303-5006
(765) 716-1556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
02/08/2024
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