JAI LONG

SANTA MONICA, CA
NPI1154540714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT111561)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  75042)
Enumeration Date2007-04-24
Last Update Date2019-04-04
Business Address
Mr. JAI LONG LMFT111561
3435 OCEAN PARK BLVD. #207
SANTA MONICA, CA 90405
Phone number: 310-392-9474
Mailing Address
Mr. JAI LONG LMFT111561
1328 SECOND STREET
SANTA MONICA, CA 90401
Phone number: 310-576-1308