person
Richard Long, MSW,LCSW,MDIV
Professional Counselor in Pendleton, Indiana
NPI 1003354598

Richard Long is a Professional Counselor based in Pendleton, IN and is specialized in Professional. Richard Long practices in Pendleton, IN and has the professional credentials of MSW,LCSW,MDIV. The NPI Number for Richard Long is 1003354598 and holds a License No. 34000540A (Indiana).

The current practice location address for Richard Long is 6745 Spring St, Pendleton, IN and can be reached out via phone at 765-778-0881.

Location: 6745 Spring St, Pendleton, IN, 46064
person
Provider Profile Details
NPI Number
1003354598
Provider Name
Richard Long
Credential
MSW,LCSW,MDIV
Provider Entity Type
Individual
Gender
Male
Address
6745 Spring St, Pendleton, IN, 46064
Phone Number
765-778-0881
Fax Number
Provider Enumeration Date
02/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6745 Spring St
City
State
Zip
46064-9026
Phone Number
765-778-0881
Fax Number
person
Provider Business Mailing Address Details
Address
6745 Spring St
City
State
Zip
46064-9026
Phone Number
765-778-0881
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34000540A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
34000540A (Indiana)
Definition
Definition to come...
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