Individual provider · Type 1 NPI

Tia Jacqueline Long, M.S.

Marriage & Family Therapist · Madison, WI

NPI number 1346686201 Active

Practice location

6333 Odana Rd
Madison, WI 53719-1170

Call (608) 270-2511 Map

Mailing address

607 4th St
Brodhead, WI 53520-1135

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1346686201

Tia Jacqueline Long, M.S.'s National Provider Identifier is 1346686201, issued on May 20, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Madison, WI. The record was last updated on May 20, 2013.