MAXINE LONG
Counselor
Active
Individual
NPI: 1841861085
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | - |
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1841861085 is the National Provider Identifier for MAXINE LONG, a Counselor provider located in Columbus, MS. This NPI was enumerated on July 8, 2021.
MAXINE LONG practices at 2623 5TH ST N, Columbus, MS 39705.
Quick Facts
- NPI
- 1841861085
- Type
- Individual
- Enumerated
- Jul 8, 2021
- Last Updated
- Jul 16, 2021
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