Charles A. Long, a Professional Marriage and Family Therapy Corporatio
Charles A. Long, a Professional Marriage and Family Therapy Corporatio is a Community/Behavioral Health Agency in LA Mesa, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
5480 Baltimore Dr Ste 202LA Mesa, CA 91942-2020
Phone: (619) 462-0199
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence MFC33504 (CA) |
|---|
Record details
| NPI number | 1144662131 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Lopng — Marriage And Family Therapist · (619) 462-0199 |
| NPI enumerated | July 19, 2013 |
| Last updated in NPPES | July 19, 2013 |
| Mailing address | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020 |
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