Charles A. Long, A Professional Marriage And Family Therapy Corporatio

NPI 1144662131 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1144662131
Enumeration Date 07/19/2013
Last Updated 07/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHARLES ANTHONY CHARLES
Position MARRIAGE AND FAMILY THERAPIST
Phone (619) 462-0199
Fax
Practice Location
5480 BALTIMORE DR
SUITE 202
LA MESA CA, 91942-2020, US
Phone (619) 462-0199
Fax
Business Location
5480 BALTIMORE DR
SUITE 202
LA MESA CA, 91942-2020, US
Phone (619) 462-0199
Fax
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number MFC33504
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According to our database, Charles A. Long, A Professional Marriage And Family Therapy Corporatio NPI is 1144662131, taxonomy code is 251S00000X and license number is MFC33504, license state is located at California. Charles A. Long, A Professional Marriage And Family Therapy Corporatio physically located at 5480 Baltimore Dr, La Mesa CA, 91942-2020. NPI Number 1033115704 has the healthcare provider type.

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1144662131 NPI number is provided on an as is basis without warranty of any kind. 1144662131 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A. Long, A Professional Marriage And Family Therapy Corporatio are for informational purposes only.