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General NPI Number Information
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NPI Number | 1386761013
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Entity Type | Individual
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Provider Name | DENISE ANN LONG MS, LPC, MAC, LCAS
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 501 BILTMORE AVE STE G276.10
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City | ASHEVILLE
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State | NC
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Zip | 28801-4601
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Country | US
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Telephone | 828-213-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 221 S PLAINS DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-8580
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Country | US
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Telephone | 828-320-7904
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Fax | 800-344-5971
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MAC215403
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | NBCC215403
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | NCBLPC 2196
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License Number State | NC
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