person
Dr. Brian Timothy Long, PHD
Mental Health Counselor in Elizabethtown, Kentucky
NPI 1962023879

Brian Timothy Long is a Mental Health Counselor based in Radcliff, KY and is specialized in Mental Health. Brian Timothy Long practices in Elizabethtown, KY and has the professional credentials of PHD. The NPI Number for Brian Timothy Long is 1962023879 and holds a License No. 262683 (Kentucky).

The current practice location address for Brian Timothy Long is 413 E Dixie Ave Ste 106, Elizabethtown, KY and can be reached out via phone at 270-319-9899. You can also correspond with Brian Timothy Long through the mailing address at 168 E VINE ST, RADCLIFF, KY - 40160-2684 (mailing address contact number: 704-880-6124).

Location: 413 E Dixie Ave Ste 106, Elizabethtown, KY, 40160-2684
person
Provider Profile Details
NPI Number
1962023879
Provider Name
Brian Timothy Long
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
413 E Dixie Ave Ste 106, Elizabethtown, KY, 40160-2684
Phone Number
270-319-9899
Fax Number
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 E Dixie Ave Ste 106
City
State
Zip
42701-1162
Phone Number
270-319-9899
Fax Number
person
Provider Business Mailing Address Details
Address
413 E Dixie Ave Ste 106
City
State
Zip
42701-1162
Phone Number
270-319-9899
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
262683 (Kentucky)
Definition
Definition to come...
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