person
George Clinton Long, LMHC
Mental Health Counselor in Ocala, Florida
NPI 1518923655

George Clinton Long is a Mental Health Counselor based in Daytona Beach, FL and is specialized in Mental Health. George Clinton Long practices in Ocala, FL and has the professional credentials of LMHC. The NPI Number for George Clinton Long is 1518923655 and holds a License No. MH 4520 (Florida).

The current practice location address for George Clinton Long is 5664 Sw 60Th Ave Bldg 2, Ocala, FL and can be reached out via phone at 800-539-4228 and via fax at 352-291-5588. You can also correspond with George Clinton Long through the mailing address at 150 MAGNOLIA AVE, DAYTONA BEACH, FL - 32114-4304 (mailing address contact number: 386-236-3225).

Location: 5664 Sw 60Th Ave Bldg 2, Ocala, FL, 32114-4304
person
Provider Profile Details
NPI Number
1518923655
Provider Name
George Clinton Long
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
5664 Sw 60Th Ave Bldg 2, Ocala, FL, 32114-4304
Phone Number
800-539-4228
Fax Number
352-291-5588
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Z053N 01 FL BCBS PROVIDER NUMBER
761035100 05 FL
institution
Provider Business Practice Location Address Details
Address
5664 Sw 60Th Ave Bldg 2
City
State
Zip
34474-5694
Phone Number
800-539-4228
Fax Number
352-291-5588
person
Provider Business Mailing Address Details
Address
5664 Sw 60Th Ave Bldg 2
City
State
Zip
34474-5694
Phone Number
800-539-4228
Fax Number
352-291-5588
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 4520 (Florida)
Definition
Definition to come...
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