KRISTEN LONG

GALLIPOLIS, OH
NPI1790459808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-03
Last Update Date2023-12-15
Business Address
KRISTEN LONG LCDCIII
936 STATE ROUTE 160
GALLIPOLIS, OH 45631-8243
Phone number: 740-446-4600
Mailing Address
KRISTEN LONG LCDCIII
PO BOX 390
HUNTINGTON, WV 25708-0390
Phone number:
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