Individual
CHRISTY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
115 COLLEGE DR, ORANGE PARK, FL 32065-9035
(904) 602-9802
Mailing address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23818
FL
Other
Enumeration date
01/19/2022
Last updated
07/11/2024
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