BRIAN TIMOTHY LONG

ELIZABETHTOWN, KY
NPI1962023879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  262683)
Enumeration Date2020-05-01
Last Update Date2020-05-04
Business Address
Dr. BRIAN TIMOTHY LONG PhD
413 E DIXIE AVE STE 106
ELIZABETHTOWN, KY 42701-1162
Phone number: 270-319-9899
Mailing Address
Dr. BRIAN TIMOTHY LONG PhD
168 E VINE ST
RADCLIFF, KY 40160-2684
Phone number: 704-880-6124
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