Individual
KATHERINE D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
1030 NORTH ROGERS LANE, STE 121, PMB 1035, RALEIGH, NC 27610-4099
(844) 855-6650
Mailing address
1030 NORTH ROGERS LANE, STE 121, PMB 1035, RALEIGH, NC 27610-4099
(844) 855-6650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
04/23/2021
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