Long, Malinda Marie

Long, Malinda Marie is an individual health care provider with primary practice located at 1840 Wilson Ave Ste C , National City CA 91950-5515. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Long, Malinda Marie can be contacted via phone (619) 477-0795.

Contact Information

Primary practice address
1840 Wilson Ave Ste C National City CA 91950-5515
Phone: (619) 477-0795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1952412959
LBN Legal business name Long, Malinda Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952412959 NPPES
California Other 9574 UBH

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