NICHOLAS LONGREN

PASADENA, CA
NPI1144732470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCSW114075)
Additional Taxonomies104100000X Social Worker
(Licence: CA  77369)
Enumeration Date2017-10-26
Last Update Date2023-03-14
Business Address
NICHOLAS LONGREN
851 N OAKLAND AVE
PASADENA, CA 91104-4343
Phone number: 626-685-2197
Mailing Address
NICHOLAS LONGREN
851 N OAKLAND AVE
PASADENA, CA 91104-4343
Phone number: 763-732-8683