Long, Jacob

Long, Jacob is an individual health care provider with primary practice located at 149 Gene Hill Rd , Mount Airy NC 27030-9072. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Long, Jacob can be contacted via phone (336) 553-8147.

Contact Information

Primary practice address
149 Gene Hill Rd Mount Airy NC 27030-9072
Phone: (336) 553-8147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18420 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0704005653 Virginia

Profile Details

NPI number 1083335285
LBN Legal business name Long, Jacob
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2022
Last updated Apr 24th, 2023 - about 3 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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