Individual provider · Type 1 NPI

Christina Marie Long

Addiction (Substance Use Disorder) Counselor · Chatsworth, GA

NPI number 1093614703 Active

Practice location

1289 Gi Maddox Pkwy
Chatsworth, GA 30705-2069

Fax (706) 426-0949

Mailing address

443 Keener Rd Side B
Chatsworth, GA 30705-4981

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1093614703

Christina Marie Long's National Provider Identifier is 1093614703, issued on Nov 2, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chatsworth, GA. The record was last updated on Nov 2, 2026.