Individual provider · Type 1 NPI

Krystal Long

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1114821899 Active

Practice location

770 E 176th St
Bronx, NY 10460-4617

Call (718) 583-5150 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X41793 (NY)

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

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About NPI 1114821899

Krystal Long's National Provider Identifier is 1114821899, issued on Oct 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Oct 6, 2026.