| Debra Long, LPC | |
|
5192 Highway 11 N, Ellisville, MS 39437-5050 | |
| (601) 649-7921 | |
| (601) 649-7939 |
| Full Name | Debra Long |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 5192 Highway 11 N, Ellisville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376942441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1738 (Mississippi) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0101 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Long, LPC Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Debra Long, LPC 5192 Highway 11 N, Ellisville, MS 39437-5050 Ph: (601) 649-7921 |
Leighanne Kittrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 Fax: 601-649-7939 | |
Danielle Porter, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3439 | |
Nancy Keys, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-779-2487 | |
Marilyn Smith, CIDDT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-425-3439 Fax: 601-649-7939 | |
Edie Nicholson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 601-649-7921 | |
Wendy B Celoria, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Lowery Creek Rd, Ellisville, MS 39437 Phone: 602-320-9053 |