Debra Long, LPC

NPI #1376942441 in Ellisville, Mississippi

Provider Information

NPI Number: 1376942441
Entity Type: Individual
Name: Debra Long, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 5192 HIGHWAY 11 N
City: Ellisville
State: Mississippi
ZIP Code: 39437-5050
Phone: (601) 649-7921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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