Individual
NINA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAP, ICADC
Contact information
Practice address
214 SEABREEZE CIR, JUPITER, FL 33477-6421
(561) 847-0220
Mailing address
214 SEABREEZE CIR, JUPITER, FL 33477-6421
(561) 847-0220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
120999
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4418
FL
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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