Carlene Long, | |
7544 W Stacy Dr, Ventress, LA 70783-3915 | |
(225) 240-0928 | |
Not Available |
Full Name | Carlene Long |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 7544 W Stacy Dr, Ventress, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417450776 | NPI | - | NPPES |
0000000 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Carlene Long, 7544 W Stacy Dr, Ventress, LA 70783-3915 Ph: (225) 240-0928 | Carlene Long, 7544 W Stacy Dr, Ventress, LA 70783-3915 Ph: (225) 240-0928 |
Jada Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8388 Island Rd, Ventress, LA 70783 Phone: 504-451-0814 | |
Jasmine Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8388 Island Rd, Ventress, LA 70783 Phone: 225-603-0053 Fax: 225-612-6347 |