MR. Jimmie Edward Long, LPC
NPI #1023297868 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1023297868
- Entity Type
- Individual
- Name
- MR. Jimmie Edward Long, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Oct 29, 2007
- Last Updated
- Oct 29, 2007
Practice Location
- Address
- 443 S 600 E
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-2708
- Phone
- (801) 538-2057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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