Individual
HALEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 3RD ST, MARIETTA, OH 45750-1803
(740) 371-5480
Mailing address
812 3RD ST, MARIETTA, OH 45750-1803
(740) 371-5480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177929
OH
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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