MATT LONG, B.A.

Counselor

Active Individual
NPI: 1508957838

Practice Address

45 EXECUTIVE DR
Jackson, TN 38305

Phone: (731) 664-2083

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1508957838 is the National Provider Identifier for MATT LONG, B.A., a Counselor provider located in Jackson, TN. This NPI was enumerated on September 28, 2006.
MATT LONG, B.A. practices at 45 EXECUTIVE DR, Jackson, TN 38305.

Quick Facts

NPI
1508957838
Type
Individual
Enumerated
Sep 28, 2006
Last Updated
Jul 9, 2007

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