SearchNorth Carolina103TC0700X

Jody Long, LPA, LCAS, CCS

NPI 1386035814 · on the registry since 2015 · sole proprietor

Practice

Address
116 Elliott Dr
Wilmington, NC 28405
Phone
(910) 623-0605
Fax
(910) 338-0495

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina