person
Jacob Long, MA
Mental Health Counselor in Mount Airy, North Carolina
NPI 1083335285

Jacob Long is a Mental Health Counselor based in Mount Airy, NC and is specialized in Mental Health. Jacob Long practices in Mount Airy, NC and has the professional credentials of MA. The NPI Number for Jacob Long is 1083335285 and holds a License No. 18420 (North Carolina).

The current practice location address for Jacob Long is 149 Gene Hill Rd, Mount Airy, NC and can be reached out via phone at 336-553-8147.

Location: 149 Gene Hill Rd, Mount Airy, NC, 27030-9072
person
Provider Profile Details
NPI Number
1083335285
Provider Name
Jacob Long
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
149 Gene Hill Rd, Mount Airy, NC, 27030-9072
Phone Number
336-553-8147
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 Gene Hill Rd
City
State
Zip
27030-9072
Phone Number
336-553-8147
Fax Number
person
Provider Business Mailing Address Details
Address
149 Gene Hill Rd
City
State
Zip
27030-9072
Phone Number
336-553-8147
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0704005653 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
18420 (Virginia)
Definition
Definition to come...
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