Individual provider · Type 1 NPI

Brian Timothy Long, PhD

Mental Health Counselor · Elizabethtown, KY

NPI number 1962023879 Active

Practice location

413 E Dixie Ave Ste 106
Elizabethtown, KY 42701-1162

Mailing address

168 E Vine St
Radcliff, KY 40160-2684

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X262683 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1962023879

Brian Timothy Long, PhD's National Provider Identifier is 1962023879, issued on May 1, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elizabethtown, KY. The record was last updated on May 4, 2020.