Individual provider · Type 1 NPI

Kristen Long, LCDCIII

Addiction (Substance Use Disorder) Counselor · Gallipolis, OH

NPI number 1790459808 Active

Practice location

936 State Route 160
Gallipolis, OH 45631-8243

Mailing address

PO Box 390
Huntington, WV 25708-0390

Other practice locations

  • 936 State Route 160, Gallipolis, OH 45631-8243 · (740) 446-4600
  • 6276 County Road 107, Proctorville, OH 45669-8867 · (740) 451-4000
  • 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 · (740) 716-7086

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1790459808

Kristen Long, LCDCIII's National Provider Identifier is 1790459808, issued on Aug 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gallipolis, OH. The record was last updated on Dec 15, 2023.