Individual
CHRISTY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SUDC
Contact information
Practice address
3651 N 100 E STE 350, PROVO, UT 84604-4567
(208) 258-5460
(417) 794-1186
Mailing address
3651 N 100 E STE 350, PROVO, UT 84604-4567
(208) 258-5460
(417) 794-1186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2061976
ID
1041C0700X
Clinical Social Worker
Primary
9045497-3501
UT
Other
Enumeration date
01/06/2014
Last updated
05/04/2026
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