JEANINE MICHELLE LONG

BURLINGAME, CA
NPI1275811408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Additional Taxonomies101Y00000X Counselor
Enumeration Date2011-07-21
Last Update Date2011-07-21
Business Address
JEANINE MICHELLE LONG
1450 CHAPIN AVE
BURLINGAME, CA 94010-4062
Phone number: 650-348-6603
Mailing Address
JEANINE MICHELLE LONG
1450 CHAPIN AVE
BURLINGAME, CA 94010-4062
Phone number:
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