Jayden Derel Long

Counselor · Muncie, IN

Individual Active NPI

NPI number 1164287819

Practice location

1705 N Granville Ave
Muncie, IN 47303-2149
Phone
(765) 749-6503

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NPI record

NPI
1164287819
Entity type
Individual (Type 1)
Enumeration date
February 20, 2024
Last updated
February 20, 2024
Certified
February 20, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

901 N Blaine St
Muncie, IN 47303-5006
Phone
(765) 749-6503

About Jayden Long

Jayden Derel Long is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1705 N Granville Ave, Muncie, IN 47303-2149. The NPI number 1164287819 was assigned on February 20, 2024 and the record was last updated on February 20, 2024.

Frequently asked questions

What is the NPI number of Jayden Derel Long?

The NPI number is 1164287819.

What is the phone number of Jayden Long?

The phone number listed for the practice location is (765) 749-6503.

Where is Jayden Long located?

1705 N Granville Ave, Muncie, IN 47303-2149.

What is the taxonomy code for Jayden Long?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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