KRYSTAL LONG

CHARLOTTE, NC
NPI1689243032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  LCAS-25613)
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
KRYSTAL LONG MS, LCAS-A
245 SHORT HILLS DR
CHARLOTTE, NC 28217-8033
Phone number: 704-401-7522
Mailing Address
KRYSTAL LONG MS, LCAS-A
245 SHORT HILLS DR
CHARLOTTE, NC 28217-8033
Phone number:
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