Individual provider · Type 1 NPI

Angela Long

Counselor · Grandville, MI

NPI number 1386217826 Active

Practice location

3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583

Fax (616) 531-0447

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1386217826

Angela Long's National Provider Identifier is 1386217826, issued on Jul 22, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grandville, MI. The record was last updated on Jul 22, 2021.