Long, Joella

Long, Joella is an individual health care provider with primary practice located at 780 Nw York Dr Suite 204, Bend OR 97703-1053. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Long, Joella can be contacted via phone (541) 639-2986.

Contact Information

Primary practice address
780 Nw York Dr Suite 204 Bend OR 97703-1053
Phone: (541) 639-2986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T1219 Oregon

Profile Details

NPI number 1073052320
LBN Legal business name Long, Joella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2017
Last updated Feb 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers