Individual provider · Type 1 NPI
Lara Long
Mental Health Counselor · West Lake Hills, TX
NPI number
1962053702
Active
Practice location
1000 Westbank Dr Ste 6
West Lake Hills, TX 78746-6598
Mailing address
2002 Willow St # B
Austin, TX 78702-4548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 78810 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1962053702
Lara Long's National Provider Identifier is 1962053702, issued on Sep 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Lake Hills, TX. The record was last updated on Sep 23, 2019.