SearchKentucky1041C0700X

Tre' Long, LCSW

NPI 1871051409 · on the registry since 2019

Practice

Address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(931) 624-7808
Organisation at this address
Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
989

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
390200000X
171M00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-08

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 Kentucky