Individual provider · Type 1 NPI

Madison Kirsten Long, BS

Counselor · Charlotte, NC

NPI number 1730831850 Active

Practice location

2820 Selwyn Ave Ste 130
Charlotte, NC 28209-1786

Mailing address

1044 Tupelo Ct
Charlottesville, VA 22903-7895

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 1730831850

Madison Kirsten Long, BS's National Provider Identifier is 1730831850, issued on Jan 20, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 2, 2026.