Individual provider · Type 1 NPI

Miriam D. Long

Professional Counselor · Marietta, GA

NPI number 1114652773 Active

Practice location

738 Woodlawn Dr NE
Marietta, GA 30068-4253

Call (770) 726-9589 Map

Mailing address

12040 Brookfield Club Dr
Roswell, GA 30075-1259

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC015269 (GA)

Professional Counselor: Definition to come...

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About NPI 1114652773

Miriam D. Long's National Provider Identifier is 1114652773, issued on Jul 19, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marietta, GA. The record was last updated on Nov 11, 2024.