Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan James Long, RAD-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992518138

Dylan James Long, RAD-T is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1003 S Beacon St
San Pedro, CA 90731-4324
Phone: (424) 505-9053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 25036 (CA)

Record details

NPI number1992518138
Entity typeIndividual (Type 1)
GenderMale
Credentials RAD-T
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address1003 S Beacon St, San Pedro, CA 90731-4324

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