Mr. Jai Long, LMFT111561
Mr. Jai Long, LMFT111561 is a Marriage & Family Therapist in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3435 Ocean Park Blvd #207Santa Monica, CA 90405
Phone: (310) 392-9474
Fax: (323) 294-7261
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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 LMFT111561 (CA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 75042 (CA) |
Record details
| NPI number | 1154540714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMFT111561 |
| Sole proprietor | No |
| NPI enumerated | April 24, 2007 |
| Last updated in NPPES | April 4, 2019 |
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