Individual provider · Type 1 NPI

Jamie L. Long

Mental Health Counselor · Olney, IL

NPI number 1386974889 Active

Practice location

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Call (618) 395-4306 Map

Fax (618) 395-4507

Mailing address

602 E 5th St
Mount Carmel, IL 62863-2152

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1386974889

Jamie L. Long's National Provider Identifier is 1386974889, issued on Jan 5, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olney, IL. The record was last updated on Nov 24, 2010.