Individual
HOLLY REBECCA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
198 EAST CENTER STREET, MOAB, UT 84532
(435) 259-6131
(435) 259-5369
Mailing address
P.O. BOX 867, 105 WEST 100 NORTH, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7109900-6004
UT
Other
Enumeration date
12/19/2008
Last updated
06/13/2011
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