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

Long Phan

Individual provider Mental Health Counselor · NPI 1215321849

Long Phan is a Mental Health Counselor in Ceres, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1904 Richland Ave
Ceres, CA 95307-4562
Phone: (209) 525-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 147197 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 147197 (CA)

Record details

NPI number1215321849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2015
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1212 N California St, Stockton, CA 95202-1552

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