Maxine Long

NPI #1841861085 in Columbus, Mississippi

Provider Information

NPI Number: 1841861085
Entity Type: Individual
Name: Maxine Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 8, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 2623 5TH ST N
City: Columbus
State: Mississippi
ZIP Code: 39705-2009
Phone: (662) 241-7097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor	101Y00000X	Primary

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