Individual
LENITA J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
309 WYCHE ST, HENDERSON, NC 27536-4246
(252) 438-2581
(252) 428-6364
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A9294
NC
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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