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Walter R Long, LPC
Professional Counselor in Phoenix, Arizona
NPI 1801120951

Walter R Long is a Professional Counselor based in Phoenix, AZ and is specialized in Professional. Walter R Long practices in Phoenix, AZ and has the professional credentials of LPC. The NPI Number for Walter R Long is 1801120951 and holds a License No. LPC-13843 (Arizona).

The current practice location address for Walter R Long is 2434 E Blanche Dr, Phoenix, AZ and can be reached out via phone at 602-456-0340 and via fax at 480-571-5367.

Location: 2434 E Blanche Dr, Phoenix, AZ, 85032-4313
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Provider Profile Details
NPI Number
1801120951
Provider Name
Walter R Long
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2434 E Blanche Dr, Phoenix, AZ, 85032-4313
Phone Number
602-456-0340
Fax Number
480-571-5367
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
851520 05 AZ
institution
Provider Business Practice Location Address Details
Address
2434 E Blanche Dr
City
State
Zip
85032-4313
Phone Number
602-456-0340
Fax Number
480-571-5367
person
Provider Business Mailing Address Details
Address
2434 E Blanche Dr
City
State
Zip
85032-4313
Phone Number
602-456-0340
Fax Number
480-571-5367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-13843 (Arizona)
Definition
Definition to come...
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