RICHARD AARON LONG

SAN JOSE, CA
NPI1245604248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ri06280517)
Enumeration Date2015-11-14
Last Update Date2018-06-28
Business Address
RICHARD AARON LONG RADT-II
2001 THE ALAMEDA
SAN JOSE, CA 95126
Phone number: 408-261-7777
Mailing Address
RICHARD AARON LONG RADT-II
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777