Individual
MRS. JUDITH ROGERS LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC/I
Contact information
Practice address
1903 GADSDEN ST STE 204, COLUMBIA, SC 29201-2352
(803) 254-9767
(803) 254-9740
Mailing address
15 WOODPINE CT, COLUMBIA, SC 29212-2921
(803) 732-5572
(508) 448-6585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4880
SC
Other
Enumeration date
07/05/2006
Last updated
01/22/2008
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