TERRANCE LONG

SAN DIEGO, CA
NPI1730602079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-07-19
Last Update Date2023-04-27
Business Address
TERRANCE LONG
4460 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Phone number: 858-565-2510
Mailing Address
TERRANCE LONG
4460 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Phone number:
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