JOHN LONG

BEND, OR
NPI1134606551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  16-12-11)
Enumeration Date2018-07-27
Last Update Date2018-07-27
Business Address
JOHN LONG CADC
908 NE 4TH ST STE 101
BEND, OR 97701-4646
Phone number: 541-617-7365
Mailing Address
JOHN LONG CADC
340 NW 5TH ST STE 203
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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