Individual provider · Type 1 NPI

Carrie Long, MHP

Addiction (Substance Use Disorder) Counselor · Pontiac, IL

NPI number 1245001395 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1245001395

Carrie Long, MHP's National Provider Identifier is 1245001395, issued on Jan 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pontiac, IL. The record was last updated on Jan 9, 2024.