| Long Phan, | |
|
1904 Richland Ave, Ceres, CA 95307-4562 | |
| (209) 525-7411 | |
| Not Available |
| Full Name | Long Phan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1904 Richland Ave, Ceres, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215321849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 147197 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Long Phan, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 468-8700 | Long Phan, 1904 Richland Ave, Ceres, CA 95307-4562 Ph: (209) 525-7411 |
Daniel Eric Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave # C1, Ceres, CA 95307 Phone: 209-525-7411 | |
Alyssa Wells, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-558-4600 | |
Lizbeth Santillan Pineda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1768 Mitchell Rd Ste 301, Ceres, CA 95307 Phone: 209-353-4838 | |
Angelique Maria Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1768 Mitchell Rd Ste 301, Ceres, CA 95307 Phone: 209-353-4838 | |
Constance Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, Ceres, CA 95307 Phone: 209-300-8800 | |
Davidangelo Hudgens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave Bldg 110, Ceres, CA 95307 Phone: 209-525-6146 | |
Mr. Alex Florez, BRIENING INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 Richland Ave, 1904 Ricland Ave, Ceres, CA 95307 Phone: 209-541-2121 |