# TIMOTHY D LONG, LMFT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kainos Christian Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942600606
- **Authorized official:** MR. TIMOTHY D LONG LMFT, LPCC (CLINIC DIRECTOR)
- **Authorized official phone:** (310) 203-1510

## Contact information

- **Practice address:** 329 N WETHERLY DR, SUITE 206, BEVERLY HILLS, CA 90211-1605
- **Practice address phone:** (310) 203-1510
- **Mailing address:** 329 N WETHERLY DR, SUITE 206, BEVERLY HILLS, CA 90211-1605
- **Mailing address phone:** (310) 203-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | LPCC1152 | CA | — |
| 106H00000X | Marriage & Family Therapist | 47459 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2014
- **Last updated:** 09/01/2014