Individual provider · Type 1 NPI
Holly Rebecca Long, PC
Professional Counselor · Moab, UT
NPI number
1821234964
Active
Practice location
198 East Center Street
Moab, UT 84532
Fax (435) 259-5369
Mailing address
P.o. Box 867, 105 West 100 North
Price, UT 84501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7109900-6004 (UT) |
Professional Counselor: Definition to come...
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About NPI 1821234964
Holly Rebecca Long, PC's National Provider Identifier is 1821234964, issued on Dec 19, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moab, UT. The record was last updated on Jun 13, 2011.