Erica Nicole Long, LPC
Counselor, Professional in Kenai, AK. Individual provider (NPI-1).
NPI number1942849385
StatusActive
Last updated in NPPESJan 2, 2020
Details
- NPI
- 1942849385
- Entity type
- Individual (NPI-1)
- Name
- Erica Nicole Long
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2020
- Certification date
- Jan 2, 2020
- Last updated
- Jan 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 151896 | AK | Yes |
Practice location
508 Upland StKenai, AK 99611-8026
Phone 907-335-7317
Mailing address
508 Upland StKenai, AK 99611-8026
Phone 907-335-7317
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