Imani Long

NPI #1053174201 in West Covina, California

Provider Information

NPI Number: 1053174201
Entity Type: Individual
Name: Imani Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Family
Enumeration Date: Jan 31, 2024
Last Updated: Jan 31, 2024

Practice Location

Address: 4141 S NOGALES ST
City: West Covina
State: California
ZIP Code: 91792-3056
Phone: (833) 831-8946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Psychologist - School — School	103TS0200X
Psychologist - Family — Family	103TF0000X	Primary

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