Individual
TOBY ALLISON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
2 E NORTH AVE, HAGERSTOWN, MD 21740-4014
(240) 513-4551
(240) 513-4551
Mailing address
PO BOX 684, FUNKSTOWN, MD 21734-0684
(864) 367-7285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4761
MD
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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