Individual
MICHELLE E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 NE ALOCLEK DR, HILLSBORO, OR 97124-7135
(800) 813-2000
Mailing address
3175 NE ALOCLEK DR, HILLSBORO, OR 97124-7135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00054698
WA
101YM0800X
Mental Health Counselor
LH60180617
WA
101YP2500X
Professional Counselor
Primary
C2650
OR
Other
Enumeration date
12/11/2006
Last updated
12/21/2021
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