Maxine Long
Maxine Long is a Professional Counselor in Columbus, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.
- Licensed in
- MS
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2623 5th St NColumbus, MS 39705-2009
Phone: (662) 241-7097
Fax: (662) 245-0511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (MS) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X |
Record details
| NPI number | 1841861085 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 8, 2021 |
| Last updated in NPPES | July 16, 2021 |
| Certification date | July 16, 2021 |
| Mailing address | 2623 5th St N, Columbus, MS 39705-2009 |
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