Individual provider · Type 1 NPI

Debra Long, LPC

Counselor · Ellisville, MS

NPI number 1376942441 Active

Practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Call (601) 649-7921 Map

Fax (601) 649-7939

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1738 (MS)
Addiction (Substance Use Disorder) Counselor 101YA0400X0101 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376942441

Debra Long, LPC's National Provider Identifier is 1376942441, issued on Aug 14, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ellisville, MS. The record was last updated on Aug 14, 2014.