DONAVAN CHRISTOPHER LONG

SPRINGFIELD, OR
NPI1528656543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-01-05
Last Update Date2021-01-05
Business Address
DONAVAN CHRISTOPHER LONG
2211 CLEAR VUE LN
SPRINGFIELD, OR 97477-1373
Phone number: 541-505-8558
Mailing Address
DONAVAN CHRISTOPHER LONG
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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