Ivan Curtis Long M.A.

NPI 1154463792 - Counselor - 101YM0800X

NPI Details
NPI 1154463792
Gender Male
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
24 WEATHERFORD SQ
JACKSON TN, 38305-2202, US
Phone (731) 660-6760
Fax (731) 984-6209
Business Location
395 WINNEBAGO DR
SAULSBURY TN, 38067-7228, US
Phone (731) 609-3147
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ivan Curtis Long M.A. NPI is 1154463792, taxonomy code is 101YM0800X Ivan Curtis Long M.A. physically located at 24 Weatherford Sq, Jackson TN, 38305-2202. NPI Number Ivan Curtis Long M.A. has the Individual type.

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1154463792 NPI number is provided on an as is basis without warranty of any kind. 1154463792 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Curtis Long M.A. are for informational purposes only.