Individual provider · Type 1 NPI

Lakita Renell Long, LPC

Mental Health Counselor · Perry, GA

NPI number 1598197535 Active

Practice location

314 Woods Trl
Perry, GA 31069-9251

Mailing address

PO Box 8236
Warner Robins, GA 31095-8236

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC006745 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1598197535

Lakita Renell Long, LPC's National Provider Identifier is 1598197535, issued on Aug 1, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Perry, GA. The record was last updated on Aug 1, 2013.