Individual
VICTORIA L LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
3030 W KINGSLEY ST APT A108, SPRINGFIELD, MO 65807-5766
(417) 894-4347
Mailing address
3030 W KINGSLEY ST APT A108, SPRINGFIELD, MO 65807-5766
(417) 894-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015016664
MO
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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