Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LONG PHAN
ActiveLONG PHAN is a Marriage & Family Therapist healthcare provider located in CERES, California. NPI 1215321849 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · CERES, CA
Registration Details
- NPI Number
- 1215321849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2015 (11.358842341564 yrs)
- Last Updated
- Nov 19, 2025
- Licenses
-
147197 (CA)147197 (CA)
Practice Information
- Address
-
1904 RICHLAND AVECERES, CA, 953074562Browse CA providers · Browse ZIP 95307
- Phone
- 2095257411
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in CERES, CA
| Name | Credential | NPI |
|---|---|---|
| ASHLEY DESHAWN JACKSON | — | 1245381318 |
| ROSA A SOTO | LMFT | 1336274737 |
| MS. RACHEL ANN ACOSTA | LMFT | 1518093343 |
| MR. KUNDARA VARMAN OU | — | 1194853994 |
| VASILIKI AJA | MFT | 1164554937 |
| MR. MATTHEW TROY BOVENKERK | MS, LMFT | 1144354309 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.