Individual provider · Type 1 NPI

Matthew Long

Professional Counselor · Santa Rosa, CA

NPI number 1457879587 Active

Practice location

3371 Parker Hill Rd
Santa Rosa, CA 95404-1732

Mailing address

368 Fell St
San Francisco, CA 94102-5144

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1457879587

Matthew Long's National Provider Identifier is 1457879587, issued on Sep 8, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 12, 2024.