Individual
KELLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
221 EXECUTIVE CIR STE 4, SAVANNAH, GA 31406-4529
(912) 704-6541
Mailing address
166 RENDANT AVE, SAVANNAH, GA 31419-2245
(912) 704-6541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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