Long, Chrystina

Long, Chrystina is an individual health care provider with primary practice located at 540 E Foothill Blvd Ste 101 , San Dimas CA 91773-1251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Long, Chrystina can be contacted via phone (626) 779-8583.

Contact Information

Primary practice address
540 E Foothill Blvd Ste 101 San Dimas CA 91773-1251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X California
Behavioral Health & Social Service Providers / Professional 101YP2500X California

Profile Details

NPI number 1972353290
LBN Legal business name Long, Chrystina
Credentials PPS, APCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 27th, 2024 - about 8 months 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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