Individual
MS. KAREN MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
137 NORTH COTTONWOOD ST., WOODLAND, CA 95695
(530) 666-9171
Mailing address
817 TAYLOR ST, WINTERS, CA 95694-1508
(530) 666-8630
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26008
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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