Long, Jamie L

Long, Jamie L is an individual health care provider with primary practice located at 504 Micah Dr Drawer M, Olney IL 62450-4720. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Long, Jamie L can be contacted via phone (618) 395-4306.

Contact Information

Primary practice address
504 Micah Dr Drawer M Olney IL 62450-4720
Phone: (618) 395-4306
Fax: (618) 395-4507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386974889
LBN Legal business name Long, Jamie L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2010
Last updated Nov 24th, 2010 - about 16 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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