Individual
MR. MATTHEW LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3371 PARKER HILL RD, SANTA ROSA, CA 95404-1732
(707) 535-0289
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/08/2017
Last updated
04/12/2024
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