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Jeanine Michelle Long
Substance Abuse Rehabilitation Facility in Burlingame, California
NPI 1275811408

Jeanine Michelle Long is a Substance Abuse Rehabilitation Facility based in Burlingame, CA. Jeanine Michelle Long practices in Burlingame, CA. The NPI Number for Jeanine Michelle Long is 1275811408 and holds a License No. (California).

The current practice location address for Jeanine Michelle Long is 1450 Chapin Ave, Burlingame, CA and can be reached out via phone at 650-348-6603. You can also correspond with Jeanine Michelle Long through the mailing address at 1450 CHAPIN AVE, BURLINGAME, CA - 94010-4062 (mailing address contact number: ).

Location: 1450 Chapin Ave, Burlingame, CA, 94010-4062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275811408
Provider Name
Jeanine Michelle Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
1450 Chapin Ave, Burlingame, CA, 94010-4062
Phone Number
650-348-6603
Fax Number
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1450 Chapin Ave
City
Burlingame
State
California
Zip
94010-4062
Phone Number
650-348-6603
Fax Number
person
Provider Business Mailing Address Details
Address
1450 Chapin Ave
City
Burlingame
State
California
Zip
94010-4062
Phone Number
650-348-6603
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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