Individual provider · Type 1 NPI

Jeff Long

Mental Health Counselor · St. Louis, MO

NPI number 1063109486 Active

Practice location

5501 Delmar Blvd
St. Louis, MO 63112-3054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063109486

Jeff Long's National Provider Identifier is 1063109486, issued on Apr 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Apr 18, 2023.