| Jacob Long, MA | |
|
149 Gene Hill Rd, Mount Airy, NC 27030-9072 | |
| (336) 553-8147 | |
| Not Available |
| Full Name | Jacob Long |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 149 Gene Hill Rd, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083335285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18420 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0704005653 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Long, MA 149 Gene Hill Rd, Mount Airy, NC 27030-9072 Ph: (336) 553-8147 | Jacob Long, MA 149 Gene Hill Rd, Mount Airy, NC 27030-9072 Ph: (336) 553-8147 |
Kristy L Silman, LMHC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Johnson Creek Rd, Mount Airy, NC 27030 Phone: 336-756-7026 | |
Michelle J Hawks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 N Renfro St, Mount Airy, NC 27030 Phone: 336-528-1859 | |
Debra Allison Smeltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 | |
Ritchie D Puckett, LCAS-A Counselor Medicare: Medicare Enrolled Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919 | |
Stephanie Puckett, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 | |
Amanda Fields Moncus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 |