Individual provider · Type 1 NPI

Jai Long, LMFT111561

Marriage & Family Therapist · Santa Monica, CA

NPI number 1154540714 Active

Practice location

3435 Ocean Park Blvd., #207
Santa Monica, CA 90405

Call (310) 392-9474 Map

Fax (323) 294-7261

Mailing address

1328 Second Street
Santa Monica, CA 90401

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist	106H00000X	75042 (CA)
Marriage & Family Therapist Primary	106H00000X	LMFT111561 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1154540714

Jai Long, LMFT111561's National Provider Identifier is 1154540714, issued on Apr 24, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 4, 2019.