Individual provider · Type 1 NPI

Charles Anthony Long, MFT

Marriage & Family Therapist · La Mesa, CA

NPI number 1740271337 Active

Practice location

5480 Baltimore Dr, Suite 202
La Mesa, CA 91942

Fax (619) 464-7772

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X33504 (CA)
Marriage & Family Therapist Primary 106H00000XMFC33504 (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 1740271337

Charles Anthony Long, MFT's National Provider Identifier is 1740271337, issued on Nov 2, 2005. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in La Mesa, CA. The record was last updated on Nov 25, 2024.