Long, Charles Anthony
Long, Charles Anthony is an sole proprietor health care provider with primary practice located at 5480 Baltimore Dr Suite 202, La Mesa CA 91942. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Long, Charles Anthony can be contacted via phone (619) 462-0199.Contact Information
Primary practice address
5480 Baltimore Dr Suite 202
La Mesa CA 91942
Phone: (619) 462-0199
Fax: (619) 464-7772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC33504 | California |
Profile Details
| NPI number | 1740271337 |
|---|---|
| LBN Legal business name | Long, Charles Anthony |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jun 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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