person
Mr. Perry Wayne Long, CADCIICA
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1720472756

Perry Wayne Long is an Addiction (Substance Use Disorder) Counselor based in Ceres, CA and is specialized in Addiction (Substance Use Disorder). Perry Wayne Long practices in Ceres, CA and has the professional credentials of CADCIICA. The NPI Number for Perry Wayne Long is 1720472756 and holds a License No. (California).

The current practice location address for Perry Wayne Long is 1904 Richland Ave, Ceres, CA and can be reached out via phone at 209-541-2121 and via fax at 209-541-2083.

Location: 1904 Richland Ave, Ceres, CA, 95307-4562
person
Provider Profile Details
NPI Number
1720472756
Provider Name
Perry Wayne Long
Credential
CADCIICA
Provider Entity Type
Individual
Gender
Male
Address
1904 Richland Ave, Ceres, CA, 95307-4562
Phone Number
209-541-2121
Fax Number
209-541-2083
Provider Enumeration Date
03/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-541-2121
Fax Number
209-541-2083
person
Provider Business Mailing Address Details
Address
1904 Richland Ave
City
State
Zip
95307-4562
Phone Number
209-541-2121
Fax Number
209-541-2083
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...
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