Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LONG, MA
ActiveJACOB LONG, MA is a Mental Health Counselor healthcare provider located in MOUNT AIRY, North Carolina. NPI 1083335285 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MOUNT AIRY, NC
Registration Details
- NPI Number
- 1083335285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2022 (3.9192066151242 yrs)
- Last Updated
- Apr 24, 2023
- Licenses
-
18420 (VA)0704005653 (VA)
Practice Information
- Address
-
149 GENE HILL RDMOUNT AIRY, NC, 270309072Browse NC providers · Browse ZIP 27030
- Phone
- 3365538147
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in MOUNT AIRY, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY GILLISPIE SPENCER | LPC | 1750301321 |
| MS. JOAN DOLORES HUDSON | LPC | 1912054750 |
| MR. JEFFERY BRYANT EADS | LPC | 1366595415 |
| MS. SANDRA H. TUCKER | LPC | 1386783355 |
| HOLLY SNYDER | LCMHC | 1942331814 |
| MS. LINDA CHERYL JACOBS | LPC | 1841493533 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.