Individual provider · Type 1 NPI
Amy Renee Long, LPC
Professional Counselor · Dalton, GA
NPI number
1245696558
Active
Practice location
2406 Cleveland Hwy, Suite 305
Dalton, GA 30721-8155
Mailing address
1659 Farley Dr
Tunnel Hill, GA 30755-7769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007501 (GA) |
Professional Counselor: Definition to come...
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About NPI 1245696558
Amy Renee Long, LPC's National Provider Identifier is 1245696558, issued on Jan 4, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dalton, GA. The record was last updated on Jan 4, 2016.