Long, Perry Wayne

Long, Perry Wayne is an individual health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Long, Perry Wayne can be contacted via phone (209) 541-2121.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 541-2121
Fax: (209) 541-2083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720472756
LBN Legal business name Long, Perry Wayne
Credentials CADC II CA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2015
Last updated Mar 27th, 2015 - about 11 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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