Individual provider · Type 1 NPI

Carrie Long

Counselor · Modesto, CA

NPI number 1316822596 Active

Practice location

1213 Coffee Rd Ste P
Modesto, CA 95355-4229

Call (209) 527-8943 Map

Mailing address

1428 Hazelnut Way
Manteca, CA 95337-7916

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XASW116754 (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316822596

Carrie Long's National Provider Identifier is 1316822596, issued on Aug 7, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 7, 2025.