BRIAN LEE LONG

CUMMING, GA
NPI1932475779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: GA  006744)
Enumeration Date2012-03-27
Last Update Date2015-02-28
Business Address
Mr. BRIAN LEE LONG LPC
410 PEACHTREE PKWY 4245
CUMMING, GA 30041-7066
Phone number: 404-644-8967
Mailing Address
Mr. BRIAN LEE LONG LPC
562 LAKELAND PLZ # 326
CUMMING, GA 30040-2783
Phone number: 404-644-8967
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