MIRIAM D LONG
NPI 1114652773
Counselor - Professional in Marietta, GA
About Miriam D Long NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM D LONG (NPI 1114652773) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC015269) and active in the NPI registry since July 2022.
NPPES Registry Identity
Specialties & Licenses
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MARIETTA, GA 30068
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114652773, enumerated as an "individual" on July 19, 2022.
The provider is located at 738 WOODLAWN DR NE MARIETTA, GA 30068 and the phone number is (770) 726-9589.
Counselor with taxonomy code 101YP2500X and a focus in Professional.