| Doctor Name: | MS. DANA LONGINO |
| NPI Number: | 1114186343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LMFT, CADAC II |
| License Number: | C8535004 |
| Business Practice Address: | 2640 Industry Way Suite B Lynwood, CA - 90262 |
| Business Phone Number: | 3106395983 |
| Business Fax Number: | 3106395870 |
| Mailing Address: | 2640 Industry Way, Suite B LYNWOOD |
| State: | CA |
| Postal Code: | 90262 |
| Phone Number: | 3106395983 |
| Fax Number: | 3106395870 |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | C8535004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |