Individual provider · Type 1 NPI
Terry J. Long Jr.
Mental Health Counselor · Edmond, OK
NPI number
1710208301
Active
Practice location
15204 Himalaya Rdg
Edmond, OK 73013-9207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1710208301
Terry J. Long Jr.'s National Provider Identifier is 1710208301, issued on Jun 17, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Jun 17, 2010.