Long, Kristen L

Long, Kristen L is an individual health care provider with primary practice located at 84 Acoma Blvd N Ste 104 , Lake Havasu City AZ 86403-6096. 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, Kristen L can be contacted via phone (928) 733-5101.

Contact Information

Primary practice address
84 Acoma Blvd N Ste 104 Lake Havasu City AZ 86403-6096
Phone: (928) 733-5101
Fax: (970) 249-2955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-16476 Arizona

Profile Details

NPI number 1275808883
LBN Legal business name Long, Kristen L
Credentials LPC, CACII
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2012
Last updated Dec 12th, 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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