Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANINE MICHELLE LONG
Active Sole ProprietorJEANINE MICHELLE LONG is a Substance Abuse Rehabilitation Facility healthcare provider located in BURLINGAME, California. NPI 1275811408 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · BURLINGAME, CA
Registration Details
- NPI Number
- 1275811408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2011 (15.109609397052 yrs)
- Last Updated
- Jul 21, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1450 CHAPIN AVEBURLINGAME, CA, 940104062Browse CA providers · Browse ZIP 94010
- Phone
- 6503486603
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
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.