RICKEY LONG

ORANGE, CA
NPI1649847096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2021-06-04
Last Update Date2021-06-04
Business Address
RICKEY LONG
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
Mailing Address
RICKEY LONG
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
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