Patricia Joann Long, LCMHC

NPI #1114165412 in Hyde Park, Vermont

Provider Information

NPI Number: 1114165412
Entity Type: Individual
Name: Patricia Joann Long, LCMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCMHC
Enumeration Date: Jan 26, 2009
Last Updated: Jan 26, 2009

Practice Location

Address: 257 MAIN STREET
City: Hyde Park
State: Vermont
ZIP Code: 05655
Phone: (802) 793-7687

Specialties & Taxonomy Codes

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

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