Individual
REBEKAH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1900 RAINIER CIR, PETALUMA, CA 94954-2543
(707) 396-2691
Mailing address
55 UPLAND DR, PETALUMA, CA 94952-1080
(707) 396-2691
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220007225
CA
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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