Teresa Lyn Longo LMHC

NPI 1912117094 - Counselor - 101YA0400X

NPI Details
NPI 1912117094
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
434 12TH ST
WEST BABYLON NY, 11704-3109, US
Phone (631) 957-0030
Fax
Business Location
434 12TH ST
WEST BABYLON NY, 11704-3109, US
Phone (631) 957-0030
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 002017
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According to our database, Teresa Lyn Longo LMHC NPI is 1912117094, taxonomy code is 101YA0400X and license number is 002017, license state is located at New York. Teresa Lyn Longo LMHC physically located at 434 12th St, West Babylon NY, 11704-3109. NPI Number Teresa Lyn Longo LMHC has the Individual type.

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1912117094 NPI number is provided on an as is basis without warranty of any kind. 1912117094 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Lyn Longo LMHC are for informational purposes only.