Individual
KATRINA SHEREE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3986
(270) 282-8280
Mailing address
2363 FOXRIDGE CT APT 811, BOWLING GREEN, KY 42101-4125
(270) 938-2762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
281024
KY
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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