person
Long Phan
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1215321849

Long Phan is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Long Phan practices in Stockton, CA. The NPI Number for Long Phan is 1215321849 and holds a License No. (California).

The current practice location address for Long Phan is 1201 N El Dorado St, Stockton, CA and can be reached out via phone at 209-468-3760.

Location: 1201 N El Dorado St, Stockton, CA, 95202-1552
person
Provider Profile Details
NPI Number
1215321849
Provider Name
Long Phan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1201 N El Dorado St, Stockton, CA, 95202-1552
Phone Number
209-468-3760
Fax Number
Provider Enumeration Date
03/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 N El Dorado St
City
State
Zip
95202-1306
Phone Number
209-468-3760
Fax Number
person
Provider Business Mailing Address Details
Address
1201 N El Dorado St
City
State
Zip
95202-1306
Phone Number
209-468-3760
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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