| Leslie A. Longo, Ph.d., Lpcc, Lpc | |
|
744 Gaylord Ave Masury OH 44438-9728 | |
| (330) 619-5195 | |
| (330) 619-5195 |
| Full Name | Leslie A. Longo, Ph.d., Lpcc, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 744 Gaylord Ave, Masury, Ohio |
| Authorized Official Name and Position | Leslie Ann Longo (OWNER/ OPERATOR/ COUNSELOR) |
| Authorized Official Contact | 3306195195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A. Longo, Ph.d., Lpcc, Lpc Po Box 124 Sharon PA 16146-0124 Ph: (330) 619-5195 | Leslie A. Longo, Ph.d., Lpcc, Lpc 744 Gaylord Ave Masury OH 44438-9728 Ph: (330) 619-5195 |
| NPI Number | 1538522420 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538522420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC004960 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | E0500230 (Ohio) | Primary |