Individual
MS. CELESTE ALECIA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5461 E MAYFLOWER LN STE 1, WASILLA, AK 99654-7892
(907) 357-6860
(907) 357-6865
Mailing address
5461 E MAYFLOWER LN STE 1, WASILLA, AK 99654-7892
(907) 357-6860
(907) 357-6865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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