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CHARLES A. LONG A PROFESSIONAL MARRIAGE AND FAMILY THERAPY CORPORATIO NPI 1144662131


NPI Information

NPI: 1144662131
Provider Name: CHARLES A. LONG, A PROFESSIONAL MARRIAGE AND FAMILY THERAPY CORPORATIO
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5480 BALTIMORE DR
SUITE 202
LA MESA, CA
ZIP 91942
Phone: (619) 462-0199
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CHARLES A. LONG, A PROFESSIONAL MARRIAGE AND FAMILY THERAPY CORPORATIO is a community behavioral health in La Mesa, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHARLES A. LONG, A PROFESSIONAL MARRIAGE AND FAMILY THERAPY CORPORATIO NPI is 1144662131. The provider is registered as an organization entity type.

The provider's business location address is:

5480 BALTIMORE DR
SUITE 202
LA MESA, CA
ZIP 91942-020
Phone: (619) 462-0199

The provider's authorized official is Charles Anthony Lopng .
The authorized official title is Marriage And Family Therapist and has the following contact phone number (619) 462-0199.

The enumeration date for this NPI number is 7/19/2013 and was last updated on 7/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthMFC33504CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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