Individual
MR. CHRISTOPHER J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1211 TECH BLVD STE 145, TAMPA, FL 33619-7845
(813) 635-6100
Mailing address
9315 HUNTINGTON PARK WAY, TAMPA, FL 33647-2566
(813) 635-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW8918
FL
1041S0200X
School Social Worker
993601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z02Z3
BCBS OF FLORIDA
FL
Enumeration date
07/05/2011
Last updated
07/19/2023
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