Individual
MR. ERNEST E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 NE 19TH ST, OKLAHOMA CITY, OK 73111-1911
(405) 886-9161
Mailing address
2701 NE 19TH ST, OKLAHOMA CITY, OK 73111-1911
(405) 551-5053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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