Toni Long, LPC

NPI #1316289804 in Mableton, Georgia

Provider Information

NPI Number
1316289804
Entity Type
Individual
Name
Toni Long, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Mar 22, 2013
Last Updated
Sep 4, 2013

Practice Location

Address
6417 CROWN FOREST CT
State
Georgia
ZIP Code
30126-7231
Phone
(678) 469-0175

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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