Individual
ALLISYN HAILY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
235 PROGRESS RD, HANNIBAL, MO 63401
(573) 603-1462
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018009718
MO
101YP2500X
Professional Counselor
Primary
2025035036
MO
Other
Enumeration date
08/19/2025
Last updated
01/29/2026
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