CHARLES ANTHONY LONG

LA MESA, CA
NPI1740271337
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC33504)
Enumeration Date2005-11-02
Last Update Date2008-06-19
Business Address
Mr. CHARLES ANTHONY LONG MFT
5480 BALTIMORE DR SUITE 202
LA MESA, CA 91942
Phone number: 619-462-0199
Mailing Address
Mr. CHARLES ANTHONY LONG MFT
5480 BALTIMORE DR SUITE 202
LA MESA, CA 91942
Phone number: 619-462-0199