MEDICARE: ABIGAIL LONG M.S., NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1760289094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL LONG M.S., NCC

Provider Business Mailing Address
First Line	:	59 NOTTINGHAM DR
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-2647
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 GRANDVIEW AVE STE 404
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-1708
Country	:	US
Telephone Number	:	717-425-0326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	01/13/2026

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