person
Michael Long
Professional Counselor in Springfield, Illinois
NPI 1477008928

Michael Long is a Professional Counselor based in Springfield, IL and is specialized in Professional. Michael Long practices in Springfield, IL. The NPI Number for Michael Long is 1477008928 and holds a License No. (Illinois).

The current practice location address for Michael Long is 2924 Stanton St, Springfield, IL and can be reached out via phone at 217-585-9185 and via fax at 217-585-8522.

Location: 2924 Stanton St, Springfield, IL, 62703-4315
person
Provider Profile Details
NPI Number
1477008928
Provider Name
Michael Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
2924 Stanton St, Springfield, IL, 62703-4315
Phone Number
217-585-9185
Fax Number
217-585-8522
Provider Enumeration Date
08/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2924 Stanton St
City
State
Zip
62703-4315
Phone Number
217-585-9185
Fax Number
217-585-8522
person
Provider Business Mailing Address Details
Address
2924 Stanton St
City
State
Zip
62703-4315
Phone Number
217-585-9185
Fax Number
217-585-8522
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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