Individual
MR. BRADLEY DEAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RASI
Contact information
Practice address
40 LANDING CIRCLE, SUITE #1, CHICO, CA 95973
(530) 898-8326
(530) 898-0239
Mailing address
40 LANDING CIRCLE, SUITE #1, CHICO, CA 95973
(530) 898-8326
(530) 898-0239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-L1108311119
CA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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