Donavan Christopher Long
Donavan Christopher Long is a Mental Health Counselor in Springfield, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2211 Clear Vue LnSpringfield, OR 97477-1373
Phone: (541) 505-8558
Fax: (541) 735-3946
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1528656543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 5, 2021 |
| Last updated in NPPES | January 5, 2021 |
| Certification date | January 5, 2021 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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