Individual
TIFFANY N. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 ASHLAND DR STE 301, ASHLAND, KY 41101-7097
(606) 408-3143
(606) 325-8486
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1701684
OH
1041C0700X
Clinical Social Worker
Primary
258573
KY
Other
Enumeration date
10/11/2017
Last updated
06/16/2025
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