Richard Long, MSW, LCSW, M.DIV.

NPI #1003354598 in Pendleton, Indiana

Provider Information

NPI Number: 1003354598
Entity Type: Individual
Name: Richard Long, MSW, LCSW, M.DIV.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MSW, LCSW, M.DIV.
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 6745 SPRING ST
City: Pendleton
State: Indiana
ZIP Code: 46064-9026
Phone: (765) 778-0881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Professional — Professional	101YP2500X

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