Long, Carrie

Long, Carrie is an individual health care provider with primary practice located at 920 W Custer Ave , Pontiac IL 61764-1067. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Long, Carrie can be contacted via phone (815) 844-6109.

Contact Information

Primary practice address
920 W Custer Ave Pontiac IL 61764-1067
Phone: (815) 844-6109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1245001395
LBN Legal business name Long, Carrie
Credentials MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2024
Last updated Jan 9th, 2024 - 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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