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Alicia N Long, ALC

Counselor, Mental Health in Montgomery, AL. Individual provider (NPI-1).

NPI number1013669951
StatusActive
Last updated in NPPESJan 21, 2022

Details

NPI
1013669951
Entity type
Individual (NPI-1)
Name
Ms. Alicia N Long
Credential
ALC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 21, 2022
Certification date
Jan 21, 2022
Last updated
Jan 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthC3793AALYes

Practice location

338 Mooreland Rd
Montgomery, AL 36104-5471

Phone 334-221-0727

Mailing address

338 Mooreland Rd
Montgomery, AL 36104-5471

Phone 334-221-0727

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