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Organization
TIMOTHY D LONG, LMFT
Active
Organization
TIMOTHY D LONG, LMFT
Active
Other names
Kainos Christian Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D LONG LMFT, LPCC (CLINIC DIRECTOR)
(310) 203-1510
Entity
Organization
Contact information
Practice address
329 N WETHERLY DR, SUITE 206, BEVERLY HILLS, CA 90211-1605
(310) 203-1510
Mailing address
329 N WETHERLY DR, SUITE 206, BEVERLY HILLS, CA 90211-1605
(310) 203-1510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPCC1152
CA
106H00000X
Marriage & Family Therapist
Primary
47459
CA
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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