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Donavan Christopher Long
Mental Health Counselor in Springfield, Oregon
NPI 1528656543

Donavan Christopher Long is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Donavan Christopher Long practices in Springfield, OR. The NPI Number for Donavan Christopher Long is 1528656543 and holds a License No. (Oregon).

The current practice location address for Donavan Christopher Long is 2211 Clear Vue Ln, Springfield, OR and can be reached out via phone at 541-505-8558 and via fax at 541-735-3946.

Location: 2211 Clear Vue Ln, Springfield, OR, 97504-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528656543
Provider Name
Donavan Christopher Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
2211 Clear Vue Ln, Springfield, OR, 97504-4004
Phone Number
541-505-8558
Fax Number
541-735-3946
Provider Enumeration Date
01/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2211 Clear Vue Ln
City
Springfield
State
Oregon
Zip
97477-1373
Phone Number
541-505-8558
Fax Number
541-735-3946
person
Provider Business Mailing Address Details
Address
2211 Clear Vue Ln
City
Springfield
State
Oregon
Zip
97477-1373
Phone Number
541-505-8558
Fax Number
541-735-3946
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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