Individual
CAROLINE JANE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 SKYLINE DR, LEMON GROVE, CA 91945-4221
(619) 465-7303
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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