person
Carrie Long, MHP
Addiction (Substance Use Disorder) Counselor in Pontiac, Illinois
NPI 1245001395

Carrie Long is an Addiction (Substance Use Disorder) Counselor based in Pontiac, IL and is specialized in Addiction (Substance Use Disorder). Carrie Long practices in Pontiac, IL and has the professional credentials of MHP. The NPI Number for Carrie Long is 1245001395 and holds a License No. (Illinois).

The current practice location address for Carrie Long is 920 W Custer Ave, Pontiac, IL and can be reached out via phone at 815-844-6109. You can also correspond with Carrie Long through the mailing address at PO BOX 768, PONTIAC, IL - 61764-0768 (mailing address contact number: 815-844-6109).

Location: 920 W Custer Ave, Pontiac, IL, 61764-0768
person
Provider Profile Details
NPI Number
1245001395
Provider Name
Carrie Long
Credential
MHP
Provider Entity Type
Individual
Gender
Female
Address
920 W Custer Ave, Pontiac, IL, 61764-0768
Phone Number
815-844-6109
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 W Custer Ave
City
State
Zip
61764-1067
Phone Number
815-844-6109
Fax Number
person
Provider Business Mailing Address Details
Address
920 W Custer Ave
City
State
Zip
61764-1067
Phone Number
815-844-6109
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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