Robert Long, CDP

NPI 1508908880 · on the registry since 2007 · sole proprietor

Practice

Address: 10215 214th Ave E
Bonney Lake, WA 98391
Phone: (253) 862-7374
Fax: (253) 862-0448
Organisation at this address: Freedom Recovery Center Llc
New Freedom Recovery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington