Long, Jeanine

Long, Jeanine is an individual health care provider with primary practice located at 4601 E Douglas Ave Ste 120 , Wichita KS 67218-1032. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Long, Jeanine can be contacted via phone (316) 535-9894.

Contact Information

Primary practice address
4601 E Douglas Ave Ste 120 Wichita KS 67218-1032
Phone: (316) 535-9894
Fax: (316) 337-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2237 Kansas

Profile Details

NPI number 1013138957
LBN Legal business name Long, Jeanine
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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