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Richard P Long, MFT

Marriage & Family Therapist in Columbus, GA. Individual provider (NPI-1).

NPI number1235349986
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1235349986
Entity type
Individual (NPI-1)
Name
Richard P Long
Credential
MFT
Sex
Male
Sole proprietor
Yes
Enumeration date
May 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFT000855GAYes

Practice location

1350 15th Ave
Columbus, GA 31901-2308

Phone 706-327-3238

Mailing address

609 Broadway
Columbus, GA 31901-2918

Phone 706-596-8952

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