Individual
MEGAN NICOLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
654 BROCKENBRAUGH CT, METAIRIE, LA 70005-2712
(504) 914-3067
Mailing address
110 BEAUREGARD LN S, DESTREHAN, LA 70047-3629
(504) 914-3067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6898
LA
Other
Enumeration date
12/19/2018
Last updated
09/13/2021
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