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Richard Anthony Long JR.
Mental Health Counselor in Lawrenceville, Georgia
NPI 1184242331

Richard Anthony Long JR. is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Richard Anthony Long JR. practices in Lawrenceville, GA. The NPI Number for Richard Anthony Long JR. is 1184242331 and holds a License No. LPC011639 (Georgia).

The current practice location address for Richard Anthony Long JR. is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 678-209-2394.

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30033-4442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184242331
Provider Name
Richard Anthony Long JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
175 Gwinnett Dr, Lawrenceville, GA, 30033-4442
Phone Number
678-209-2394
Fax Number
Provider Enumeration Date
07/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
Lawrenceville
State
Georgia
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC011639 (Georgia)
Definition
Definition to come...
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