Jayden Derel Long
Jayden Derel Long is a Counselor in Muncie, Indiana. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1705 N Granville AveMuncie, IN 47303-2149
Phone: (765) 749-6503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1164287819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2024 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |
| Mailing address | 901 N Blaine St, Muncie, IN 47303-5006 |
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