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Debra Long, LPC
Addiction (Substance Use Disorder) Counselor in Ellisville, Mississippi
NPI 1376942441

Debra Long is an Addiction (Substance Use Disorder) Counselor based in Hattiesburg, MS and is specialized in Addiction (Substance Use Disorder). Debra Long practices in Ellisville, MS and has the professional credentials of LPC. The NPI Number for Debra Long is 1376942441 and holds a License No. 1738 (Mississippi).

The current practice location address for Debra Long is 5192 Highway 11 N, Ellisville, MS and can be reached out via phone at 601-649-7921 and via fax at 601-649-7939.

Location: 5192 Highway 11 N, Ellisville, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376942441
Provider Name
Debra Long
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
5192 Highway 11 N, Ellisville, MS, 39404-8679
Phone Number
601-649-7921
Fax Number
601-649-7939
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5192 Highway 11 N
City
Ellisville
State
Mississippi
Zip
39437-5050
Phone Number
601-649-7921
Fax Number
601-649-7939
person
Provider Business Mailing Address Details
Address
5192 Highway 11 N
City
Ellisville
State
Mississippi
Zip
39437-5050
Phone Number
601-649-7921
Fax Number
601-649-7939
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0101 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1738 (Mississippi)
Definition
Definition to come...
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