Long Phan
NPI #1215321849 in Ceres, California
Provider Information
- NPI Number
- 1215321849
- Entity Type
- Individual
- Name
- Long Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 20, 2015
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 1904 RICHLAND AVE
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 525-7411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
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