Individual
HAROLD LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MRSS/CLERGY/PASTORAL
Contact information
Practice address
514 FOX STREET., PARIS, MO 65275-0179
(660) 327-6072
Mailing address
PO BOX 179, PARIS, MO 65275-0179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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