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Mr. Anthony Rache Long
Mental Health Counselor in Tampa, Florida
NPI 1669546859

Anthony Rache Long is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Anthony Rache Long practices in Tampa, FL. The NPI Number for Anthony Rache Long is 1669546859 and holds a License No. (Florida).

The current practice location address for Anthony Rache Long is 19428 Via Del Mar, Tampa, FL and can be reached out via phone at 813-391-1074.

Location: 19428 Via Del Mar, Tampa, FL, 33647-3054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669546859
Provider Name
Anthony Rache Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
19428 Via Del Mar, Tampa, FL, 33647-3054
Phone Number
813-391-1074
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
19428 Via Del Mar
City
Tampa
State
Florida
Zip
33647-3054
Phone Number
813-391-1074
Fax Number
person
Provider Business Mailing Address Details
Address
19428 Via Del Mar
City
Tampa
State
Florida
Zip
33647-3054
Phone Number
813-391-1074
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Florida)
Definition
Definition to come...
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