STACEY L LONG

CHARLOTTE, NC
NPI1598498289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  27117)
Enumeration Date2022-07-08
Last Update Date2024-08-26
Business Address
STACEY L LONG CPSS
429 BILLINGSLEY RD
CHARLOTTE, NC 28211-1007
Phone number: 704-445-6900
Mailing Address
STACEY L LONG CPSS
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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