Individual provider · Type 1 NPI
Richard Long, MSW, LCSW, M.DIV.
Mental Health Counselor · Pendleton, IN
NPI number
1003354598
Active
Practice location
6745 Spring St
Pendleton, IN 46064-9026
Mailing address
6745 Spring St.
Pendleton, IN 46064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 34000540A (IN) |
| Professional Counselor | 101YP2500X | 34000540A (IN) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1003354598
Richard Long, MSW, LCSW, M.DIV.'s National Provider Identifier is 1003354598, issued on Feb 6, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pendleton, IN. The record was last updated on Feb 6, 2017.