Individual provider · Type 1 NPI

Dylan James Long, RAD-T

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1992518138 Active

Practice location

1003 S Beacon St
San Pedro, CA 90731-4324

Call (424) 505-9053 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25036 (CA)

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

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About NPI 1992518138

Dylan James Long, RAD-T's National Provider Identifier is 1992518138, issued on Jan 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jan 30, 2025.