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Individual
DANIELLE LONG
Active
Individual
DANIELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW12323
CA
104100000X
Social Worker
ASW12323
CA
1041C0700X
Clinical Social Worker
Primary
84763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC 70042F
SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS
CA
01
—
FHC 70044F
SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS
CA
01
—
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE SITE PROVIDER NUMBERS
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE SITE PROVIDER NUMBERS
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE SITE PROVIDER NUMBERS
CA
Enumeration date
06/14/2007
Last updated
09/14/2018
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