Individual
MEGAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8180 GREENSBORO DR STE 350, MC LEAN, VA 22102-3862
(703) 828-7516
Mailing address
8180 GREENSBORO DR, MC LEAN, VA 22102-3888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016657
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2023
Last updated
03/07/2024
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