Miles Owen Longino
Miles Owen Longino is a Mental Health Counselor in Lawrenceville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
175 Gwinnett DrLawrenceville, GA 30046-8444
Phone: (678) 209-2394
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1932094299 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2025 |
| Last updated in NPPES | June 9, 2025 |
| Certification date | June 4, 2025 |
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