DONALD WAYNE LONG

CHICO, CA
NPI1982986949
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
Mr. DONALD WAYNE LONG
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
Mailing Address
Mr. DONALD WAYNE LONG
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775