Greta Long

NPI #1144171026 in Peoria, Illinois

Provider Information

NPI Number
1144171026
Entity Type
Individual
Name
Greta Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Feb 5, 2026
Last Updated
Feb 5, 2026

Practice Location

Address
7210 N VILLA LAKE DR STE C
City
Peoria
ZIP Code
61614-8290
Phone
(309) 798-4962

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