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Individual

CHRYSTINA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPS, APCC

Contact information

Practice address
540 E FOOTHILL BLVD STE 101, SAN DIMAS, CA 91773-1251
(626) 779-8583
Mailing address
1403 ASHPORT ST, POMONA, CA 91768-2804
(626) 318-2186

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CA
101YS0200X
School Counselor
CA

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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