Individual provider · Type 1 NPI

Kim Long, CADCA

Addiction (Substance Use Disorder) Counselor · North Hollywood, CA

NPI number 1376895664 Active

Practice location

8330 Lankershim Blvd
North Hollywood, CA 91605-1615

Call (818) 994-7454 Map

Mailing address

11027 Burbank Blvd
North Hollywood, CA 91601-2431

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18570206 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376895664

Kim Long, CADCA's National Provider Identifier is 1376895664, issued on Oct 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Hollywood, CA. The record was last updated on Jul 25, 2019.