Individual provider · Type 1 NPI
Amanda Jo Long
Mental Health Counselor · Welling, OK
NPI number
1215350293
Active
Practice location
27753 S Welling Rd
Welling, OK 74471-2202
Mailing address
PO Box 734
Stilwell, OK 74960-0734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1215350293
Amanda Jo Long's National Provider Identifier is 1215350293, issued on Jan 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Welling, OK. The record was last updated on Jan 28, 2014.