Individual provider · Type 1 NPI

Kim Marie Long, LCPC

Professional Counselor · Frederick, MD

NPI number 1225508146 Active

Practice location

300 W 9th St
Frederick, MD 21701-4541

Fax (301) 694-8221

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC0743 (MD)

Professional Counselor: Definition to come...

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About NPI 1225508146

Kim Marie Long, LCPC's National Provider Identifier is 1225508146, issued on Dec 4, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Frederick, MD. The record was last updated on Dec 4, 2018.