Individual provider · Type 1 NPI

Crystal M. Long

Mental Health Counselor · Farmington, MO

NPI number 1477323442 Active

Practice location

1085 Maple St
Farmington, MO 63640-1955

Mailing address

3309 S Kingshighway Blvd
St. Louis, MO 63139-1101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477323442

Crystal M. Long's National Provider Identifier is 1477323442, issued on Jan 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, MO. The record was last updated on Jan 2, 2024.