Individual provider · Type 1 NPI

Justin David Long

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1851151997 Active

Practice location

1160 Liberty St SE
Salem, OR 97302-4143

Mailing address

1525 Parkside Ct NE
Keizer, OR 97303-7704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1851151997

Justin David Long's National Provider Identifier is 1851151997, issued on Mar 19, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Mar 19, 2024.