Individual provider · Type 1 NPI

Geri Anne Long, CDP

Addiction (Substance Use Disorder) Counselor · Lacey, WA

NPI number 1508056045 Active

Practice location

4800 College St SE
Lacey, WA 98503-4389

Mailing address

14148 Tilley Rd S
Tenino, WA 98589-9222

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XRC00054823 (WA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60027739 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508056045

Geri Anne Long, CDP's National Provider Identifier is 1508056045, issued on Jul 31, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lacey, WA. The record was last updated on Mar 24, 2017.