Dana Long, LMFT
Individual provider Active NPI Professional Counselor · Pitman, NJ
NPI 1376014688 · NPPES record last updated Sep 3, 2020
Key facts
- NPI
- 1376014688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 140 S Broadway Ste 7
Pitman, NJ 08071-2235 - Phone
- (844) 365-7676
- Fax
- (844) 365-7676
- NPI assigned
- Dec 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Therapeutic Services | Current |
Accepting new patients |
Locations
140 S Broadway
Ste 7
Pitman, NJ 08071
Phone (609) 617-1405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NJ | Yes |
Addresses
Primary practice location
140 S Broadway Ste 7
Pitman, NJ 08071-2235
Mailing address
PO Box 433
Elmer, NJ 08318-0433
Phone (844) 365-7676
Other providers in Pitman, NJ
- La Perle Psychotherapy
- Lantern'S Light Counseling Services
- Lasting Changes, LLC
- Brian Lehrer
- Krystle Lind
- Stuart Allan Lynd Jr.
- John Macfeeters
- Richard J. Macfeeters
- Helene Maggioncalda
- Marissa Mansueto
All providers in Pitman, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.