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Individual

LEANNE J LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
4800 MARK CENTER DR, 14E08, ALEXANDRIA, VA 22350-2300
(571) 372-5328
Mailing address
4800 MARK CENTER DR, 14E08, ALEXANDRIA, VA 22350-2300
(571) 372-5328

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004468
VA
101YP2500X
Professional Counselor
20026
TX
101YP2500X
Professional Counselor
867
AL

Other

Enumeration date
10/03/2008
Last updated
07/23/2012
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