Individual provider · Type 1 NPI

Matt Long, B.A.

Counselor · Jackson, TN

NPI number 1508957838 Active

Practice location

45 Executive Dr
Jackson, TN 38305-2337

Fax (731) 664-1988

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 1508957838

Matt Long, B.A.'s National Provider Identifier is 1508957838, issued on Sep 28, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, TN. The record was last updated on Jul 9, 2007.