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1376895664
KIM LONG
NORTH HOLLYWOOD, CA
NPI
1376895664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18570206)
Enumeration Date
2012-10-10
Last Update Date
2019-07-25
Business Address
KIM LONG CADCA
8330 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 91605-1615
Phone number: 818-994-7454
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Mailing Address
KIM LONG CADCA
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
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