Individual provider · Type 1 NPI

Mary A. Long, MA

Mental Health Counselor · Richmond, KY

NPI number 1972653863 Active

Practice location

409 Gibson Ln
Richmond, KY 40475-2577

Call (859) 253-1686 Map

Fax (859) 254-2743

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972653863

Mary A. Long, MA's National Provider Identifier is 1972653863, issued on Jan 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, KY. The record was last updated on Jul 9, 2007.