Individual
ALEXANDREA SHANIECE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4403 COLONEL DR, KILLEEN, TX 76549-0069
(713) 382-0884
Mailing address
4403 COLONEL DR, KILLEEN, TX 76549-0069
(713) 382-0884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63724
TX
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
01/11/2023
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