Long, Krystal

Long, Krystal is an individual health care provider with primary practice located at 245 Short Hills Dr , Charlotte NC 28217-8033. 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, Krystal can be contacted via phone (704) 401-7522.

Contact Information

Primary practice address
245 Short Hills Dr Charlotte NC 28217-8033
Phone: (704) 401-7522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-25613 North Carolina

Profile Details

NPI number 1689243032
LBN Legal business name Long, Krystal
Credentials MS, LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Jun 21st, 2021 - about 4 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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