Individual provider · Type 1 NPI

Lila Long

Mental Health Counselor · Egg Harbor Township, NJ

NPI number 1073990875 Active

Practice location

6010 Black Horse Pike
Egg Harbor Township, NJ 08234-9752

Call (609) 646-5142 Map

Fax (609) 645-7343

Mailing address

6550 Delilah Rd, Suite 301
Egg Harbor Township, NJ 08234-5102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073990875

Lila Long's National Provider Identifier is 1073990875, issued on Apr 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Egg Harbor Township, NJ. The record was last updated on Apr 30, 2015.