Individual provider · Type 1 NPI
Richard Long
Mental Health Counselor · Kwethluk, AK
NPI number
1124240304
Active
Practice location
First Street Old Clinic Building
Kwethluk, AK 99559
Fax (907) 543-6008
Mailing address
PO Box 528
Bethel, AK 99559-0528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1124240304
Richard Long's National Provider Identifier is 1124240304, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kwethluk, AK. The record was last updated on Jul 9, 2007.