Individual
SUSANNAH LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
109 LAURENS ROAD, BUILDING 4 STE D, GREENVILLE, SC 29607
(864) 387-3342
Mailing address
PO BOX 9474, GREENVILLE, SC 29604-9474
(610) 324-7689
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7051
SC
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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