Individual
BRET A LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2204 PACIFIC AVENUE N, LONG BEACH, WA 98631
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVENUE N, LONG BEACH, WA 98631
(360) 642-3787
(360) 642-2096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00045309
WA
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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