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Maxine Long
Counselor in Columbus, Mississippi
NPI 1841861085

Maxine Long is a Counselor based in Columbus, MS. Maxine Long practices in Columbus, MS. The NPI Number for Maxine Long is 1841861085 and holds a License No. (Mississippi).

The current practice location address for Maxine Long is 2623 5Th St N, Columbus, MS and can be reached out via phone at 662-241-7097 and via fax at 662-245-0511.

Location: 2623 5Th St N, Columbus, MS, 39705-2009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841861085
Provider Name
Maxine Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
2623 5Th St N, Columbus, MS, 39705-2009
Phone Number
662-241-7097
Fax Number
662-245-0511
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2623 5Th St N
City
Columbus
State
Mississippi
Zip
39705-2009
Phone Number
662-241-7097
Fax Number
662-245-0511
person
Provider Business Mailing Address Details
Address
2623 5Th St N
City
Columbus
State
Mississippi
Zip
39705-2009
Phone Number
662-241-7097
Fax Number
662-245-0511
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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